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Endometriosis

Overview

子宫内膜异位症是指子宫内膜的组织在子宫外生长, typically on the ovaries, fallopian tubes, intestines or other areas in the pelvis. 这种组织就像子宫内膜一样在子宫内积聚血液 monthly menses period但在循环结束时,它没有地方流血. 组织和血液的积聚会引起炎症和疤痕, which can lead to other conditions, particularly pelvic pain and infertility. 被困在卵巢中的血液可能发展成称为子宫内膜异位瘤的良性囊肿.

据估计,25%到50%的不孕妇女患有子宫内膜异位症. 子宫内膜异位症影响着美国超过一百万的女性, the exact cause of the condition is unknown.

Our approach to endometriosis

加州大学旧金山分校为所有阶段的子宫内膜异位症患者提供个性化护理. Our team includes gynecologic surgeons, physical therapists, urogynecologists, sexual health specialists, alternative and integrative medicine providers, pain specialists, infertility doctors, radiologists and psychologists. 我们共同制定针对每位女性症状和并发症的综合治疗计划, from pelvic pain to infertility. 对于考虑手术的女性,我们提供几种微创方法.

我们认为,赋予妇女知识是治愈过程的重要组成部分, 并鼓励每位患者十大赌博靠谱网络平台选择最适合自己的治疗方案.

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Signs & symptoms

Typically, symptoms of endometriosis worsen over time. 症状的严重程度各不相同,有些女性可能根本没有任何症状. Symptoms may stop after menopause or during pregnancy不过,在女性生完孩子并再次开始月经后,它们会回来.

Common symptoms may include:

  • Pelvic pain and cramping before and during periods
  • Lower back and stomach pain during periods
  • Excessive bleeding during periods
  • Pelvic pain during intercourse
  • Fatigue
  • Diarrhea
  • Constipation
  • Nausea
  • Infertility

These symptoms can occur with other conditions. 如果你正在经历这些症状,请去看十大赌博平台排行榜以确定原因.

Diagnosis

In diagnosing endometriosis, 你的十大赌博平台排行榜会首先询问你的症状并进行身体检查, including a pelvic exam to check for any abnormalities, though these are typically hard to detect without other, more advanced tests.

The tests may include:

  • Pelvic exam. 这是为了检查女性的阴道、子宫、膀胱和直肠. 十大赌博平台排行榜摸这些器官看是否有肿块或形状或大小的变化. To see the upper part of the vagina and the cervix, 十大赌博平台排行榜将一种叫做窥器的仪器插入阴道.
  • Transvaginal ultrasound. In this test, a doctor inserts an instrument into the vagina that aims high-frequency sound waves at the uterus. The pattern of the echoes they produce creates a picture.
  • Laparoscopy. 这是一种使用微小切口和范围的外科手术, called a laparoscope, 检查盆腔和其他腹部器官,寻找子宫外子宫内膜组织的迹象.
  • CA125 test. 这是一种检查血液中CA125蛋白水平的血液检查, 哪些是某些妇科癌症的肿瘤标志物, 但它也被用来检测子宫内膜异位症女性血液中的一种特殊蛋白质. However, 值得注意的是,CA125水平在怀孕期间也可能升高, 月经期及其他非癌性妇科疾病或癌症患者.

Treatments

子宫内膜异位症有几种不同的治疗选择. 你的十大赌博平台排行榜会详细讨论每一种治疗方法,并帮助你确定最符合你需求的治疗方法. Treatment may depend on the severity of your condition, 你的年龄和你是否计划要孩子, and whether you have any other associated conditions.

Medications

激素疗法可以帮助减缓子宫内膜异位症的发展. These include birth control pills, progestins, 丹那唑和新的芳香酶抑制剂, 在子宫内膜生长过程中,哪一种药物通过阻断局部雌激素的形成而起作用.

非处方止痛药如布洛芬可以用来治疗盆腔疼痛和经痛.

Surgery

手术可能会被推荐给一些想要怀孕的女性,以及那些患有严重妊娠的女性 pelvic pain. Conservative surgery removes endometrial growths, 没有切除生殖器官的疤痕组织和粘连. This may be performed laparoscopically, using a slender scope called a laparoscope, which is inserted through a tiny incision near the navel. 腹腔镜用激光或小型手术器械切除肿瘤.

In the most severe cases, a hysterectomy 不论是否切除卵巢. 这通常是最后的手段,特别是对于仍处于生育年龄的妇女. Also, 手术可以非常有效地治疗子宫内膜异位症, 手术后的复发率估计为40%.

因子宫内膜异位症而不孕的妇女也可以从不孕专家的治疗中受益.

加州大学旧金山分校健康医学专家已经审查了这些信息. 它仅用于教育目的,并不打算取代您的十大赌博平台排行榜或其他医疗保健提供者的建议. 我们鼓励您与您的供应商讨论您可能遇到的任何问题或疑虑.

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