Scanty periods with endometriosis why. How are periods with endometriosis

Menstruation with endometriosis is usually abundant and prolonged due to the rejection of the endometrium from the uterine cavity and further growth, going beyond it, to other neighboring organs, fallopian tubes, ovaries, kidneys, intestines, cervix. Less often, but monthly poor, scanty, with clots pass.

The formation of foci occurs when endometrial tissue accumulates in one place, penetration deep into the organ that has become a target as a result of the growth of the endometrium. With the onset of menstruation, the endometrial tissue is shed, and a new layer grows in place. With growth, a disease develops - endometriosis, a change in menstruation in nature is painful. The disease requires treatment based on ultrasound, prescribed for women with suspicion.

There is no exact cause for the development of the disease. The hereditary factor plays an important role, endometriosis also develops against the background of a malfunction of hormonal immune processes. Women at risk include:

after 30 years;
who have had abortions, caesarean section, diathermocoagulation of the cervix or erosion.

Especially dangerous is the intervention of a doctor before the start of the menstrual cycle. Endometrial cells can penetrate into the wounds, their growth will go into the thickness of the neck, then into the pelvic cavity.

How do periods change with endometriosis?

As the endometrium grows, menstruation for a woman becomes more and more painful, painful, abundant and prolonged, or, conversely, scanty (with ovarian dysfunction, insufficient hormone production). The accumulation of secretions in the uterus leads to an increase in its size, compaction of the structure. With the development of endometriosis, for example, in the cervix, when it is palpated, blood particles depart. Unfavorable conditions for ovulation are created. It simply does not happen, which indicates the impossibility until this problem is eliminated.

With the development of endometriosis, the hormonal background of a woman is disturbed. The endometrium stops developing in the uterus, the egg does not mature inside the ovaries, as a result, menstruation is delayed, their irregular arrival. The fallopian tubes are prone to focal manifestations of endometriosis. The disease negatively affects the reproductive functions of women and, first of all, the menstrual cycle is disturbed. Excruciating pains appear before the onset of menstruation.

Of course, the endometriosis ailment in women passes in different ways, but in any case it must be treated. Pain usually begins shortly before menstruation, discharge on critical days passes:

plentifully and for a long time;
poorly, no more than 3 days;
acyclic;
contact (just smear).

Basically, with endometriosis, menstruation is profuse, long and painful, which indicates dysmenorrhea.

Dysmenorrhea occurs with:

Symptoms directly depend on the stage of endometriosis. With progression, it hurts almost constantly. The cycle is not broken, but the pain during menstruation and throughout the entire period is exhausting, exhausting, the feeling of soreness is constantly present. The syndrome is stable if adenomyosis additionally begins to develop. At grade 4, surgery is no longer enough.

Menorrhagia manifests itself when endometriosis is pronounced. There is endometrial hyperplasia, uterine leukemia. For menorrhagia:

pains begin at the beginning of menstruation, the discharge is scanty;
if the pain cider goes down, then the woman begins to experience blood loss.
discharge depart profusely, with clots;
the symptoms of menstruation are pronounced for 3 days, on the 4th day the discharge becomes less intense, on the 5th day there is no heavy discharge, but they can smear for a long time;
menstruation lasts up to 8 days.

Blood loss is dangerous for the body, abundant is fraught with anemia, decreased performance, rapid fatigue, weakness, drowsiness.

smears, soreness manifests itself only at the beginning of menstruation;
for 3 days, the discharge is insignificant, the duration in general is not more than 3 days.

Acyclicity, irregular periods. Also possible with endometriosis. When interviewing a doctor, a woman cannot indicate the exact date of the arrival of menstruation. Allocations are acyclic, that is, they are different: meager, short, abundant, prolonged, painful. They may be absent altogether, come with a delay, giving women a lot of inconvenience, irritation, nervousness, physical discomfort.
Blood smearing, discharge is insignificant, smearing, may appear throughout the entire cycle of menstruation. Often occur after intercourse, when lifting weights, as a result of the introduction of vaginal suppositories, douching, and even during palpation by a doctor during the examination. Monthly smear, when diagnosing endometriosis of the uterus, vagina, vulva, ovaries, isthmus.
Hypomenorrhea, meager periods with blood loss of not more than 50 ml. Appears headaches, also in the lumbar region, sternum, lower abdomen, nausea, intestinal disorders. Possibly nosebleed. The secretion of estrogens decreases, along with them, libido, reproductive functions. Scanty menstruation occurs when:

inferiority of the endometrium;
after abortions, frequent curettage;
on the background of inflammatory tuberculosis.

If the secretion of hormones produced is impaired, the circulatory system in the uterus ceases to circulate normally. The endometrium is defective during periods of menstruation, resulting in scant discharge. The launch of the mechanism for the development of hypomenorrhea is possible due to:

Discharge during hypomenorrhea leaves dark or light brown spots, accompanied by nausea, headaches, in the lower back, as well as constipation, dyspeptic disorders. Spastic contractions of the uterus and sharp pains during menstruation may not be. Scanty menstruation is not pathological with the extinction or restoration of menstrual function. But in the reproductive phase, these are serious disorders in women and a reason to see a doctor.

It is important to establish the cause of menstruation disorders. In case of violation of the hormonal regulation of endometriosis, menstruation is meager and prolonged, with complications, infertility develops, in the absence of menstruation for a long time - amenorrhea. With inflammation of the endometrium, the discharge is brown, scanty, an unpleasant odor disappears, and the lower abdomen hurts. Often there are such discharges after intrauterine intervention against the background of post-abortion endometritis or infectious diseases. There may be no pain with dark bloody, brown discharge, but this is also a sign of endometriosis.

Menses profuse with blood clots

Observed with an overgrown endometrium, its rejection with vascular damage. With blood clotting, menstruation is profuse, with endometrial pieces or clots. They come out with endometrial hyperplasia against the background of the release of a large amount of estrogens. Normally, only lochia after childbirth is considered. The discharge is profuse with clots, lasting from 3 to 6 weeks. They become lighter over time. With the appearance of protracted periods with an unpleasant odor, similar discharge after childbirth, also with pain, fever, you need to visit your doctor.

If uterine bleeding is heavy, how to stop?

With endometriosis, heavy periods are observed in many women. The condition leads to anemia and it is urgent to stop the bleeding.

The doctor will prescribe, tranexam,. For uterine contraction - contrical, oxytocin, ergometrine. Ascorutin, folic acid will help strengthen the walls of blood vessels. In the treatment of endometriosis, regardless of the stage, danazol, zoladex, novinet, duphaston are prescribed. With prolonged bleeding and a low level of hemoglobin, according to the results of the tests, surgical intervention is possible.

With severe bleeding, douching, taking warm baths is prohibited. Drugs to stop bleeding without a doctor's prescription are also not recommended to avoid complications.

Laparoscopy is a perfect technique in the treatment of endometriosis. It consists in conducting tubes (three) through punctures into the peritoneal cavity. Tubes filled with gas act on pathological foci, destroying them. As a result of resection, endometrial foci are removed without damaging the organ. However, this method cannot take samples of the endometrium for biopsy, relapses are also possible, the restoration of endometrial tissue after its destruction is not always successful.

Medicinal herbs together with medicines help to stop bleeding. Only with the permission of a doctor to relieve inflammation, stop bleeding helps plantain juice. The shepherd's purse has the same effect. Brew, drink before meals 2-3 times a day.

Nettle leaves have an anti-inflammatory effect. Houses use decoctions and infusions. Regular intake will relieve blood loss, regulate the menstrual cycle. Nettle is brewed with boiling water, taken 1-2 tbsp. l. before meals 2 times a day. Viburnum red (bark) helps to stop uterine bleeding. The crushed bark is brewed with boiling water, as infused, they drink 2–3 tsp. up to 4 times a day.

Infusions from medicinal plants should be taken regularly for 1 month. If side effects occur, you should consult your doctor.

Endometriosis leads to an imbalance, a violation of the hormonal background. If left untreated, complications are inevitable.

How do periods change after endometriosis treatment?

Menstruation starts to go according to schedule, but failures are possible with:

stress, anxiety before the upcoming operation;
taking hormonal drugs;

The cycle can change after surgery if you had to remove large affected areas. The day of the operation is the beginning of a new cycle. In the absence of menstruation on time, it is considered a delay. It can be up to 5 days, maybe up to 2-3 months when taking hormonal drugs prescribed after surgery to restore the background. Poor discharge, ichor as a result of wound healing are possible, but they have nothing to do with menstruation.

Abnormalities are copious brown discharge clots, may be bright red with an unpleasant odor. This is a reason to go back to the doctor, to undergo a full examination. Violations of the menstrual cycle and hormonal levels inevitably lead to infertility. For conception, the formation of an embryo in the uterus simply does not remain a favorable environment. Even with the onset of pregnancy, it is extremely difficult to maintain it against the background of developing endometriosis. The cycle is broken, there is no ovulation, infertility occurs. It is menstruation that occurs normally that testifies to the hormonal and physical well-being of women.

Blood loss or, conversely, meager discharge is a reason to visit a gynecologist and undergo an examination. Soreness and heavy bleeding are the main symptoms of endometriosis. If the disease is not treated, the changes become more pronounced, lead to breakdowns, neurotic disorders, and the woman fails to become pregnant. The disease is insidious, and at the first suspicions, the passage of a full course of treatment is extremely important for the future health of a woman.

The endometrium is the inner layer of tissue that lines the uterus. With a gynecological disease, this layer grows pathologically. Delayed menstruation with endometriosis is accompanied by soreness in the lower abdomen. There are other symptoms depending on the localization of endometriosis formations. Endometriosis often causes female infertility, so you need to treat immediately, without leading to complications.

Causes of endometriosis

In the list of the most common gynecological pathologies, endometriosis ranks last in the top three (after inflammatory diseases and uterine fibroids).

Today, until the end, scientists have not figured out why this pathology develops. Some experts blame bad heredity and environmental pollution for this, others are sure of hormonal disruptions and a drop in immunity.

In patients with endometriosis, menstruation poses a certain danger - with menstrual flow, pathological cells enter other organs, attach to the tissues that have turned up and begin to multiply. If a woman does not become pregnant during ovulation, the endometrium dies not only in the area of the uterus, but also wherever it gets. In the wrong places of fixation, squeezing is formed, the patient perceives this as pain and discomfort.

Risk factors that increase the possibility of endometriosis have been known in medicine for a long time:

genetic predisposition;
excess estrogen with reduced progesterone;
late first pregnancy;
complicated childbirth;
abortion, especially in the later stages;
cauterization erosion;
C-section;
biopsy of the cervix;
gynecological operations.

With any injury to the uterus (unintentional or inflicted during a planned operation), cells enter the fresh wound, which will soon begin to grow where they should not have been originally.

Smoking, alcohol abuse, unbalanced nutrition negatively affect all processes in the body, the risk of endometriosis increases.

Symptoms of the disease

With endometriosis of the uterus, the endometrium changes more intensively than in a healthy woman. This is influenced by environmental conditions and malfunctions of internal organs. Pathological proliferation of cells occurs not only in the uterus, but also outside it. With the defeat of the reproductive system, cystic formations in the ovaries, the inability to become pregnant and frequent delays in menstruation are noted.

The course of the disease is very individual and varies greatly in patients with the same diagnosis. This is due to the different localization of the pathological tissue. At first, the disease proceeds without any symptoms, they appear in the last stages.

The most common symptoms are as follows:

painful menstruation;
frequent pain in the pelvic region;
inability to get pregnant;
discomfort or pain during sex;
painful defecation.

Most of the symptoms may be absent for a long time, in this case, women turn to them about the inability to conceive a child. 50% of patients complain of pain that increases during or before menstruation. The pain in this case is caused by organ damage by endometrial growths.. In the affected cells, fluid accumulates, pressing on the peritoneum, so discomfort appears. Endometriosis needs urgent treatment so as not to aggravate the patient's condition.

Pregnancy with endometriosis

Infertility is a consequence of many diseases, but most often such a diagnosis is made due to endometriosis. The growths of endometriosis tissue extend to the fallopian tubes and ovaries, causing many problems for a woman's health.

Sometimes the disease is formed during pregnancy, in which case there is a high risk of miscarriage. Another dangerous complication in a pregnant woman is perforation of the uterus, its unexpected rupture.. Without surgical intervention, a woman is threatened with imminent death; in this case, the fetus cannot be saved. Therefore, obstetricians and gynecologists do not recommend women with endometriosis to plan a pregnancy until complete recovery.

When the inner part of the uterine layer is affected, endometriosis develops. The mucous membrane of the uterus grows, disrupting the work of the ovaries. As a result, there is a delay in the menstrual cycle. A woman's egg develops, but it takes longer than usual.

If cycle violations have happened repeatedly, a woman does not need to look for recipes. It is necessary to go to the gynecologist. A delay is the initial sign of endometriosis, but this also happens with less dangerous diseases, so there is no need to panic in advance. Visit a doctor, he will diagnose, relieving severe doubts and anxiety.

The disease disrupts the hormonal order in the body, which will necessarily affect the timeliness of growth and rejection of the endometrium. The cycle of menstruation changes significantly, in some cases they completely disappear - this is. If the level of progesterone in the blood decreases further, this will necessarily lead to uncontrolled bleeding or delay.

Processes in the cervix

The second reason for the failure of the cycle in a woman is the growth of abnormal cells in the cervix. Because of this growth, menstrual blood cannot leave the vagina. When the menstruation comes, it is more profuse than usual, and is accompanied by pain. This type of pathology is less common, but it is much more dangerous due to the high risk of developing into cervical cancer.

Even if the process has not become malignant, it is still undesirable due to the formation of adhesions in the cervical canal. Spikes prevent a woman from getting pregnant. Spermatozoa that enter the vagina are unable to reach the egg to fertilize it.

Hormonal imbalance in the body slows down the development of eggs in the ovaries, so menstruation comes later than usual. The endometrium with hormonal disorders cannot mature by a certain time, so there is no uterine bleeding. The female body is designed so that the uterus during the cycle is prepared to receive a fertilized egg. If a girl has endometriosis, the course of the natural process is disrupted, which affects the whole body.

Diagnosis and treatment

Endometriosis is more common in patients before the onset of menopause, it also happens. The delay occurs as a result of the development of the disease. Gynecologists distinguish endometriosis of the genital and extragenital forms. The genital form is diagnosed when the uterus, tubes, ovaries or vagina are affected. The extragenital form is determined when endometrial cells are found in neighboring organs that do not belong to the reproductive system.

Diagnosis of endometriosis is difficult because there are often no symptoms in the initial stages. If symptoms are present, then it is similar to signs of other gynecological pathologies. What to do to make an accurate diagnosis?

Preventive examinations by a gynecologist will help to detect the disease in a timely manner and avoid serious complications. With endometriosis, secondary infertility occurs in a quarter of patients.

The diagnosis is confirmed after a series of examinations, including physical examination, ultrasound, culture, and biopsy. The main tasks of modern treatment of this pathology are to reduce pain, relieve inflammation, and preserve the patient's fertility. The course of treatment is highly dependent on the age of the patient, as evidenced by reviews on the Internet. Two treatment tactics are used - medication or complex with surgical intervention.

Delayed periods with endometriosis are common, as are unexpected uterine bleeding. Among the drugs for endometriosis, hormonal agents are used that stop menstruation for the period of treatment. Usually these are gestagens that reduce the synthesis of estrogens and stop ovulation. They are used in the early stages of the disease.

In addition to hormones, analgesics, anti-inflammatory drugs and immunostimulants are used. The operation is prescribed only for severe forms of the disease in order to remove the foci of inflammation. With proper treatment, in most cases it is possible to completely restore the patient's health.

By the nature of menstrual bleeding, as well as the stability of the cycle, one can understand how fully the reproductive system of a woman's body works. With discharge from the uterus, a layer of the endometrium is removed, which has been built up over the past month. However, if the thickness of the lining exceeds the norm, then certain problems may appear with this process.

Menstruation with endometriosis is characterized by its duration and abundance, but they can be scanty, as well as with blood clots. It is by this parameter that the gynecologist can make a primary diagnosis. Let us consider in more detail how menstruation passes with endometriosis, the manifestations of the disease and its consequences.

Almost every woman knows that every month inside the uterus there is a renewal of the lining layer. Thanks to this process, the body prepares for the onset of a possible pregnancy. The endometrium grows to a certain limit, after which the process of its exfoliation starts if the egg has not been fertilized in the current cycle.

Normal and pathological state of the uterus. Source: melnitsa-asb.ru

The delay in menstruation with endometriosis, their absence, or a change in character is due to the fact that a certain failure occurred in the body, as a result of which the lining layer began to grow beyond the reproductive organ. An important feature is that even in the conditions of modern medicine, it has not yet been possible to establish the true causes of the development of this pathology.

The only opinion, which is followed by almost all doctors, suggests that the disease is a consequence of a hormonal imbalance. It is worth noting that cell proliferation in rare cases occurs outside the genitourinary system, but sometimes part of the intestine and other internal organs may be involved in this process.

Allocations

If menstruation with endometriosis is scanty, then with a high degree of probability we can say that the cells of the lining layer have begun to spread into the vagina, or in the middle layer. As a result of this discharge, they have a smearing character, there is no pain in the lower abdomen, or this symptom is not very pronounced. However, this condition is extremely rare in this pathology.

More often, women complain that they have periods with clots due to endometriosis, and their duration is 7 days or more. It is also possible that spotting type bleeding will appear in the middle of the cycle. All this is extremely dangerous for the female body, because with constant blood loss, anemia will develop, so the patient's condition will be unsatisfactory.

What menstruation with endometriosis depends on the degree of neglect of the disease. However, it should be said that although the lining layer grows beyond the reproductive organ, its function remains unchanged, so menstruation always comes, but the discharge in them is more abundant than in a healthy woman.

It is also worth noting that, together with this, with endometriosis during regular bleeding, the patient will feel pain of a pulling nature in the lower abdomen. Most often, menstruation with endometriosis is abundant and with a large number of clots, when the pathological focus is in the fallopian tubes.

Cycle

As mentioned earlier, the cells of the lining layer can grow not only in the uterus, but also affect other internal organs. Since the endometrium is constantly growing, over time it thickens, against which the uterus increases. Together with this, the work of the ovaries is disrupted.

With endometriosis, the discharge can be plentiful or scanty. Source: xlebstudio.ru

Accordingly, the delay in menstruation with endometriosis will have hidden symptoms, because the process of egg maturation goes unnoticed, and the later it comes out, the longer there will be no bleeding. It is also worth mentioning that patients often have menstruation twice a month, which is due to the increased content of estrogens in the body compared to progesterone, and this is definitely a deviation from the norm.

Menstruation and endometriosis are related concepts, since pathology directly affects how regular the cycle will be, which changes depending on where the pathological focus is located. So, for example, if the cells of the lining layer have sprouted in the cervical region, then menstruation will not be stable, pain will appear, the discharge will be scanty or plentiful.

Delay

Many women are interested in, maybe, a delay in menstruation with endometriosis or not. Doctors unequivocally assure that this condition develops almost always. An important feature of the pathology is that it is often diagnosed in girls of reproductive age who have not yet experienced menopause and menopause.

Since two types of the disease are distinguished in gynecology (genital and extragenital form), a delay in endometriosis can be more or less dangerous. Most often, there is a proliferation of cells of the lining layer outside the uterus. At the same time, the fallopian tubes and ovaries are involved in the pathological process. In this case, if there is a delay in menstruation, endometriosis can cause infertility.

With endometriosis, the egg matures longer and there is a delay. Source: gloriamed.ru

Menstruation with endometriosis is often delayed when the cells of the lining layer grow into the cervix, thereby becoming an obstacle to the release of biological fluid. However, at the same time, gynecologists note that this type of disease is diagnosed in rare cases.

Answering the question, can there be a delay in menstruation with endometriosis, it must be said that regular bleeding may be absent due to hormonal imbalance. If in a woman's body the sex glands, which are the ovaries, do not produce enough substances, under the influence of which the egg matures and leaves the follicle, then menstruation may not come for a long time.

Many girls are wondering if there is a delay in endometriosis, how many days it can be. It is impossible to unequivocally answer this question, because, depending on the neglect of the pathological process, the discharge may be absent both within a week and several months.

Pain

Most women with the onset of menstrual bleeding feel soreness of varying degrees of intensity in the lower abdomen. If a girl progresses endometriosis, then even this symptom will be different. In most cases, pain is accompanied by such conditions:

Women feel fatigue;
Sometimes urinary problems develop;
There is nausea and vomiting;
There may be blood streaks in the stools.

Almost every doctor will say that with endometriosis, women definitely feel pain, which can be aching, shooting or cramping. The symptom may be present on an ongoing basis, or it may appear suddenly and disappear just as imperceptibly. The severity of pain clearly depends on the neglect of the disease.

Symptoms

If a woman has scanty periods, endometriosis will not always be diagnosed during a routine pelvic exam. It is possible that this nature of the discharge is an individual feature of the organism. However, it is important to know what additional signs of the disease may bother a woman in the initial stages.

With endometriosis, menstruation is accompanied by pain. Source: medclubmsk.ru

If there is a delay in menstruation and endometriosis is suspected, then you should pay attention to such conditions:

The level of profusion of regular bleeding changes;
Menstruation lasts one week or more;
A woman feels pain and discomfort during intercourse;
Immediately before critical days, discomfort intensifies;
There are certain problems with conception;
In advanced stages, pain is present during defecation and urination.

It is worth saying that there are other signs of the disease, but these symptoms are the most common companions of endometriosis. It is important that during the examination the doctor conducts a differential diagnosis, because most gynecological diseases manifest themselves in the same way in the initial stages.

Treatment

In gynecological practice, the fight against endometriosis can be carried out in three directions: getting rid of pain, normalizing the volume of secretions, removing pathological foci. To stop the pain, they resort to the appointment of antispasmodics, among which No-shpa, Spazmalgon, Kombispasm and Solpadein are especially effective.

If the condition is severe, then potent drugs will be needed, which the attending physician should prescribe. Independent symptomatic treatment can be carried out by taking paracetamol, but if it does not help, you should consult a specialist. It is important to understand that removing the pain does not mean curing endometriosis at all.

As for the regulation of the volume of menstrual flow, many drugs have also been developed in pharmacology for these purposes. So, for example, specialists often prescribe Askorutin, Diferelin, tranexam, Vikasol, Dicinon, Oxytocin, Ergometrine. Some of them are designed specifically to combat endometriosis, the rest are used to reduce the uterus, and are also hemostatic and means.

Askorutin is used in the drug therapy of endometriosis.

Endometriosis is a common disease in gynecology. The endometrium is called the outer layer of the uterus, its mucous membrane, which undergoes changes during the menstrual cycle aimed at creating a favorable environment for egg implantation.

Growing, the endometrium thickens, becoming an excellent nutrient medium for the female gamete. Sometimes the process in question gets out of control, and its cells end up on the surface of the uterus, are found in the tissues of neighboring organs. This pathological condition will be called endometriosis.

Like any other disease of the female reproductive system, endometriosis causes disruptions in the menstrual cycle. There may be a long delay, abnormally long menstruation, as well as total. Menstruation with endometriosis, as a rule, is characterized by abundance and duration, have a brownish tint.

Answering the question of how menstruation passes with endometriosis, a few words should be said about the pathogenesis of this disease.

With the growth of the endometrium, part of its tissues penetrates into neighboring organs: the urogenital tract, the vagina, and in advanced cases, even the rectum suffers. Since it is with the outer lining of the uterine cavity that changes occur, the pathology cannot but affect the process of menstruation, changing in it:

cyclicity;
duration;
the nature of the discharge.

In addition, the disease in question often causes pain in the uterus, which accompanies the release of bloody discharge.

Let's clarify the judgment about whether there can be a delay in menstruation with endometriosis. As a rule, the disease, on the contrary, causes heavy menstruation, but with inhibition of ovarian function due to the penetration of tissue parts into the parenchyma of the gland, menstruation may also be late.

Pain

Endometriosis before menstruation usually does not manifest itself in any way. You will feel the development of pathology directly during critical days, since it is a fairly common symptom.

Unpleasant sensations can have a different character: acute, spasmodic, cramping. It depends on what kind of menstruation a woman has with endometriosis.

With abundant secretions, the pain is acute or spasmodic, with scanty - pulling, radiating from the groin to the lumbar region.

The pathological location of the cells of the uterine mucosa is the cause that causes pain. When the functional layer is rejected in abnormal places, capillaries are damaged, additional foci of local bleeding are formed. In addition to unpleasant sensations, there is a spasmodic contraction of the uterine myometrium, which aggravates the general condition of the woman.

Sometimes soreness is manifested in conjunction with other unpleasant symptoms, such as:

nausea and vomiting;
general malaise;
difficulty and pain in urination.

Pain can be controlled with analgesics and at home, but if it is acute and accompanied by continuous bleeding, hospitalization may be required.

Abundance

With the disease in question, as a rule, are observed. This is due to the occurrence of additional foci of bleeding. The secretions often contain large amounts of blood and mucus.

Scanty menstruation with endometriosis is explained by the involvement in the pathological process of the female gonads - the ovaries. Particles of the mucous membrane, penetrating into the parenchyma, disrupt the function of the endocrine gland. In case of severe damage to the organ, menstruation may be completely absent.

Duration

Due to the thickening of the endometrial tissue, it takes a long time for rejection and subsequent recovery. Consequently, menstruation lasts much longer - a week or more. During this period, a woman can lose a large amount of blood, which often leads to the development of anemic conditions due to a lack of hemoglobin.

Loop failure

Delayed menstruation with endometriosis is a rare phenomenon. Even with the defeat of the regulation, albeit meager, as a rule, they begin on time.

Due to the total damage to the gonads, coupled with the initial insufficiency of their function and hormonal imbalance, it sometimes happens that with endometriosis there are no critical days at all, that is, there is a delay that inexperienced women can attribute to pregnancy or cycle fluctuations.

Most often, there is an extension of the period of discharge, the nature of which should alert any woman. Menstruation has a number of features that make it possible to suspect a pathology of the gynecological profile.

Features of treatment

Treatment of endometriosis involves both the fight against the root causes of the pathology, and symptomatic therapy, including painkillers and hemostatic agents. Multivitamin and restorative complexes will also be a good help.

Painkillers

The pain that accompanies menstruation is a clear sign of the disease in question. It gives a woman severe discomfort, greatly reducing the quality of her life. Due to the different origin of discomfort, different pharmaceutical agents can be used. In case of discomfort caused by capillary damage, non-steroidal anti-inflammatory drugs are used:

ibuprofen;
Analgin;
Diclofenac.

If the pain syndrome is caused by microcontractions of the muscular membrane of the uterus, then antispasmodics are used: Drotaverine, No-shpa, Papaverine.

adjuvant pain therapy

Adjuvant therapy involves the use of auxiliary drugs to relieve pain. These measures cannot be an independent treatment, but only complement the medical and surgical ones.

This method of getting rid of pain in endometriosis includes the appointment of a course of vitamins containing all the main micro and macro elements, among which magnesium, which has an antispasmodic effect, stands apart.

Surgery

The overgrown tissue of the lining of the uterus can be removed surgically. This procedure is called endometrial curettage. As a rule, it is chosen by women who do not want to take synthetic hormonal drugs, because in the future this may affect their reproductive ability. Thanks to the operation, the main function of the organs is preserved.

Surgical intervention will be aimed at removing the foci of the disease. The main disadvantage is that after the procedure, the foci of abnormal endometrial proliferation do not disappear, and after some time the outer lining of the uterus grows again.

In addition to the usual abdominal surgery, laparoscopic surgery is increasingly being used in modern gynecological clinics. Laparoscopy is performed in front of him - a diagnostic operation that is done through incisions in the abdominal cavity of a few millimeters. Differs in high efficiency and low invasiveness.

Laparoscopic surgery allows more precise removal of the affected areas, which lengthens the relapse period. In addition, due to the peculiarities of the procedure, the recovery time is also greatly reduced (up to three days).

hormone therapy

Hormone therapy includes the use of drugs that slow down the proliferation of endometrial cells. In this regard, the volume of the endometrium also decreases, which adversely affects both the reproductive function and the menstrual cycle. This effect is due to the therapeutic effect on endometriosis and delayed menstruation.

A gynecologist to inhibit endometrial cell mitosis may prescribe the following medications and agents:

Combined oral contraceptives.
progesterone preparations.
Danazol.
Analogues of hypothalamus hormones (gonadotropin releasing factors).
Intrauterine spirals.

Oral contraceptives contain both estrogens and progesterone, have a low number of side effects, therefore, can be used for a long time without any consequences.

Releasing factors slow down the production of progesterone, which reduces the growth of the uterine lining. Progesterone preparations have a similar effect. Among other things, they are also characterized by a good anti-inflammatory effect. Danazol is a synthetic male hormone. In the female body, it changes the hormonal background, which is also a factor in inhibiting the proliferation of endometrial cells.