About 50 years ago about this woman's disease and no one heard. Today - this is one of the most common diagnoses, gynecologists find endometriosis more often than fibroids or inflammatory diseases of appendages. This is one of those diseases, which did not really clear - "has not been studied pathogenesis, etiology is unknown," as they say in the exams medical students.
What is endometriosis? I will explain clearly, but unscientific.
Endometriosis - A disease which occurs only in women because only women have a uterus.
The uterus is composed of 3 layers - the outer layer of the serous, the average muscle and internal - active. Active inner layer called the endometrium. It was he exposed to the active transformations during the menstrual cycle, preparing to meet the fertilized egg. If the egg is not fertilized it and stuck, the endometrium disappointed rejected - that is, menstruation. Manage this process many hormones, but today is not about them.
Very well, when the endometrium is where it is supposed to and doing what it is supposed to. But when suspiciously similar to the endometrial foci arise in the thickness of the muscular layer of the uterus, on the ovaries, fallopian tubes inside, on the walls of the pelvis and ligaments - there are problems. And a healthy endometrium and the endometrial foci that's listen to the commands, which are fed hormones. And outbreaks begin to occur changes corresponding to the phases of the menstrual cycle. That is endometrioid pockets swell, too, "preparing for pregnancy," and then menstruate. Where? In the surrounding space. The thickness of the muscular layer in the lumen of the fallopian tubes into the peritoneal cavity, etc. It turns out that every month in women occur more microbleeds, that the body is fighting bravely. Only just, more or less mastered the body, here you are, if you please - the next menstruation!
It endometriotic lesions on the peritoneum. Such harmless and cute. I can not believe that these small ink klyaksochki is the cause of severe, often disabling disease, infertility, and pain.
So beautiful vyglyadt endometriosis during laparoscopic surgery. Consider it with the naked eye is also possible, but to estimate the true prevalence of endometriosis could only after widespread use of laparoscopy.
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