Diagnosis of the pathology of the endometrium of the uterus is very extensive, which includes inflammatory changes, excessive overgrowth of the endometrium (hyperplasia, polyposis). For each pathology, its signs of endometrial pathology are characteristic. In this article, we will consider the causes, signs, diagnostics and treatment of endometrial pathological changes.
Endometrial Pathology - Causes
One of the most common types of endometrial pathology is hyperplasia, the causes of which can be: endocrine disorders, infectious disease and hereditary predisposition. The essence of this pathology is the pathological proliferation of the vessels of the endometrial mucosa and the delayed cell death, which should take place at the end of the menstrual cycle. In the case of uneven growth of the mucous uterus, this pathology of the endometrium is called polyposis.
The causes of inflammatory pathology of the endometrium are infections, especially sex (chlamydia, mycoplasma, gonorrhea in women ). Endometritis can be a consequence of medical abortion and complicated delivery.
Endometrial pathology - symptoms
Hyperplasia of the endometrium is clinically manifested by uterine bleeding, lengthening of menstrual bleeding and metrorrhagia during menopause. The listed types of bleeding lead to the development of iron deficiency pneumonia. The pathology of the endometrium and pregnancy are not always compatible. Thus, the proliferation of the uterine mucosa can disrupt implantation of the embryo and lead to infertility.
Endometritis can be manifested by sukrovichnymi secretions from the uterus, with an unpleasant odor, which are accompanied by symptoms of general intoxication (general weakness, headache, fever).
Diagnosis of endometrial pathology
The first method of diagnosis is ultrasound with a vaginal sensor. Echographic signs of the pathology of the endometrium is a uniform or local thickening of the endometrium. In the diagnosis, an important role is played by scraping the uterine cavity with the subsequent examination of the contents of the uterine cavity. Histological examination of the endometrium allows to determine the type of hyperplasia (fibrous, glandular, glandular fibrous), and also to determine the presence of atypical cells in the collected material. Hysteroscopy is a modern and effective method of diagnosing the pathology of the endometrium, which allows you to see the growth of the mucosa, but also to accurately remove the polyp or cut the pathological layer (hysteroresectoscopy).
It should be noted that the pathology of the endometrium in postmenopausal women is a threat to the development of malignant neoplasms of the uterus.
Pathology of the endometrium - treatment
In the treatment of endometrial pathology, conservative and operational methods are distinguished. To hormonal therapy include hormonal therapy. With endometrium, adequate antibacterial and detoxification therapy is indicated. Among surgical methods, medical-diagnostic curettage, hysteroresectoscopy and uterine removal are distinguished. Treatment-diagnostic curettage is used in the case of
We examined possible varieties of pathological changes in the endometrium, their diagnosis and treatment. To prevent the progression of the pathological process, preventive examinations in the gynecologist are very important.