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Migratory endometriosis and pregnancy
Migratory endometriosis and pregnancy

Endometriosis

Endometriosis is a major cause of delayed pregnancy for women, and endometriosis is known as the presence of uterine tissue outside its proper place, where it is properly located in the uterus and not outside the uterus. 

Symptoms of migratory endometriosis 

To understand the nature of the symptoms in women with endometriosis, it should be noted that the tissue lining of the uterus, in normal condition, responds to monthly hormonal changes by increasing the rate of growth after responding to certain changes in cases where women are suffering from endometrial abandonment, the growth of endometrial-like tissues in the outer area causes problems because this occurs in the body tissue and reacts to hormonal changes that occur in a woman's body in very similar ways. Normal endometriosis causes internal bleeding in the pelvic area, this bleeding can cause swelling, inflammation or even scarring before mentioning the symptoms associated with the lining of the uterus.

Migratory uterus. Some women with this condition may have problems that do not show any symptoms or signs, and here is an explanation of the symptoms and signs if they appear:

1. Chronic symptoms in the pelvis.

2. Severe pain during the menstrual cycle.

3. Chronic pelvic pain during marital relationship

4. Pregnancy Delay

Other symptoms can be caused, such as if the lining is an immigrant in the urinary bladder, it can cause infections, and if it is in the digestive tract, it can cause blood at the exit.

These symptoms coincide with the date of the menstrual cycle and disappear with the end of the menstrual cycle.

Types of migratory 

  • Bloody spots
  • Bloody bags

Causes of migratory endometriosis

In fact the explanation of the disease of the occurrence of migratory endometriosis is not clearly understood, and while there are a number of theories that tried to explain the cause of the disease, none of them have been proven, and among these theories during menstruation, a lot of blood and tissues in the uterus are transferred outward, especially in the fallopian tube, and from there to the abdominal cavity and also according to theories :

 Some cells outside the uterus develop into one of the theories that tried to explain the occurrence of endometriosis, which is that a group of cells moved the lining of the uterus through the blood vessels or lymphatic system to reach other organs or areas of the body, and in the end one theory believes that there is a link between surgery and the occurrence of endometriosis, which means that in some cases of caesarean section in which the woman has been infected with endometrial disease migratory, it was found that part of the extrauterine tissue has Go to the place of the surgical scar, but it should be noted that all this is only theories need more studies and research in support or denial of their health, and what casts doubt on these theories, is that although the validity of one theory is verified, some women do not suffer from endometriosis, for example, some women suffer from the transfer of blood and tissues to another part of the body during ectopic menstruation, but She does not have endometriosis, and this is believed to be linked to a woman's immune system as well as the role of heredity in developing this problem Factors that increase the risk of endometriosis:

There are several factors that make women more likely to develop endometriosis, including:

  1.  There is a family history of infection with migratory endometriosis as we explained.
  2. Early puberty. Long tatyan bleed, that makes it more than seven days. 
  3.  Bleeding between menstruation and the next menstrual
  4.  The number of births decreased.
  5.  The first pregnancy was delayed. 
  6. A defect or problem in the fallopian tube or in the uterus. Lack of iron or oxygen in the body. 
  7. The duration of the menstrual cycle is short, which means that the period between menstrual bleeding and the other is less than twenty-one days.

Treatment of migratory endometriosis

While there is no complete cure for the problem of endometriosis, there are many medical ways to improve the quality of life of infected women by controlling their symptoms and slowing down and preventing the growth of extrauterine tissue. It improves fertility and reduces the problems associated with childbirth. It should be noted that the specialist in choosing the type of treatment will depend on a number of factors including: 

  • The age of the patient,
  • types of symptoms you suffer from,
  • The desire to have children or not.

 Some treatment options may affect a woman's ability to have children and pregnancy, as well as other factors to consider when managing the problem: knowing the patient's desire and preference for one option over the other, taking into account the type of treatments women receive previously. With the update that the related conditions resemble minor indications without hurting the capacity to recreate doesn't need treatment, and even ladies who have reached menopause usually do not need treatment as the condition changes with self-improvement at this time, and in cases requiring treatment, treatment options can be divided as needed To be used as follows: 

Pain control there are some drug options that will help control the pain caused by the migratory endometriosis, but the use of these drugs does not always work, and the fact that some of these drugs are sold over the counter and others should be prescribed by a doctor. These options include: 

Analgesics: One of the most common medications used to control pain associated with migratory endometriosis is NSAID. 

Non-steroidal anti-inflammatory drugs and other drugs that fall under the name opiates whose principle of action depends on the effect on the nervous system.

Hormonal treatments: Hormones are used to control the pain associated with migratory endometriosis because these hormones can affect extrauterine tissue in a manner similar to how the body's hormones affect the growth of healthy endometriosis as well as exudation tissue. 

This therapeutic option prevents the formation of new extrauterine tissue from the lining of the uterus, but is unable to get rid of removed tissue before starting to use it, and it is worth noting that hormonal treatments in general are the ability of children to obtain them.Weak, but this effect is temporary, and examples of hormonal treatments used.

 include: contraceptives, which are most commonly used, progestin and its derivatives, and hormones that resemble the absolute hormone-like stimulating of the gonads.

Surgery: In migratory endometriosis, surgical options are used to destroy or remove the tissue extracted. This type of treatment helps in effectively controlling a woman's symptoms and improving the ability to have children and the fact that there are two types of surgeries to choose between them. Depending on where the tissue appears, here's a simple statement about these two Options:

 Laparoscopy

This is the most common type. In addition to the diagnostic incision, another incision is performed in the abdomen, then one tissue is removed without damaging the healthy tissue, and it should be noted that in most cases tissue removal is also preferred, since these tissues may be associated with the pain problem in infected women. 

In migratory endometriosis and generally, some scientific evidence has shown that endoscopy is best for the purpose of controlling the pain caused by the problem of endometriosis and resorting to it when the pain is severe and not mild. Abdominal incision: or so-called hysterectomy. As with this process, the uterus, ovaries, and fallopian tubes are often removed, whichever the doctor deems appropriate. However, it is important to know that this is the last option that the doctor can resort to and it is unfortunate to say that this type of treatment may not be enough to solve the endothelial problem. Extrauterine tissue can appear again.


Prevention of migratory endometriosis

 In fact, there are no specific ways to prevent migrating endometriosis, but a healthy lifestyle goes a long way in helping to control symptoms when they appear, as well as the importance of this health system in improving the quality of life in general in the context of preventing the problem of migrating endometriosis, it should be noted that reducing the level of estrogen in the body is believed to play a role in reducing the likelihood of developing this problem, and some general advice on this is recommended to promote overall health And lower estrogen levels in the body. This can be interpreted as follows:

Ask your doctor about the option of taking medications classified in hormonal contraceptive groups, which are sold in various forms of medication, including vaginal rings, oral pills, and other topical spots, where these hormones lower estrogen levels in the body, but it is necessary to consult a doctor before taking any of them. This is due to their ability to identify the expected benefits and risks, and therefore will decide whether they are needed to benefit from them. Exercise regularly, where 30 minutes of aerobic exercise is recommended four to five times a week, as exercise is important for overall health, including weight loss and fat loss, as well as the ability to reduce the risk of infection of endometriosis migrating away from alcohol. It is believed that excessive alcohol intake increases estrogen levels in the body, increasing the likelihood of infection of the migratory endometriosis.


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