1, physiological pain: physiological pain can occur before or after menstruation. Some dysmenorrhea is so severe that you need to stay in bed or take medicine to relieve pain. Pain often worsens with the menstrual cycle. The rising level of estrogen makes ectopic endometrium proliferate and swell, and bleeding is affected by pregnancy hormones, which stimulates local tissues and causes pain. If it is endometriosis, it can promote uterine muscle contracture, and dysmenorrhea is bound to be more obvious. In the case of ectopic tissue without bleeding, dysmenorrhea may be caused by vascular congestion. After menstruation, ectopic endometrium gradually shrinks and dysmenorrhea disappears. However, it is worth noting that not all patients with endometriosis have dysmenorrhea, and patients without dysmenorrhea still account for about 25%. Female psychological status will also affect pain. However, we must pay attention to dysmenorrhea.

2, menorrhagia: endogenous endometriosis, increased menstrual flow, prolonged menstruation. Increased intima may be accompanied by ovarian dysfunction.

3, infertility: patients with endometriosis are often accompanied by infertility. The causal relationship between infertility and endometriosis is still controversial. Pelvic endometriosis often causes adhesion around fallopian tubes, which affects oocyte collection and lumen blockage. Ovarian diseases affect the normal ovulation and lead to infertility. However, some people think that long-term infertility and menstrual cycle will cause endometriosis. Once pregnant, the ectopic endometrium is inhibited and atrophied.

Tips: If endometriosis is diagnosed, it can be treated with traditional Chinese medicine. For example, Fuyan Pill, which is commonly used in clinic, has a good curative effect on endometriosis, and can be diagnosed by the following methods!

The detection of 1 and B-mode ultrasound is convenient, but the position that can be detected is limited, and the position of fallopian tube and abdominal cavity cannot be judged.

2. CA- 125 is a commonly used detection method, and ca 125, that is, carbohydrate antigen 125, is a commonly used tumor marker. Generally speaking, in female ovarian cancer, this index may rise. In other germ cell tumors, such as teratomas, if they are malignant teratomas, ca 125 may rise, but it is uncertain, and some indexes are not too high or normal. Just draw a small tube of blood and enter the laboratory to detect the biomarker of CA- 125, which is convenient and quick. However, the accuracy is not high, and it is easily influenced by the patient's own hormonal status. People with uterine fibroids may be misdiagnosed and can only be detected when the situation is already serious, so they are considered as reference only.

3. Laparoscopy is a diagnostic method, which can directly go deep into the uterus, clearly see the condition of the endometrium, and also directly remove abnormal places, but the disadvantage is that the cost is high, which may damage the surrounding tissues. When the symptoms are not obvious, direct surgery is not recommended.