With the onset of menopause, some unpleasant changes occur in a woman's body. However, this is a plus - some diseases dependent on sex hormones disappear. But even here some women are not expected by the most pleasant moment - the emergence of new diseases, such as endometriosis of the uterus during menopause. About the symptoms and treatment of this disease, read below.
Causes of Endometriosis
Climax is some of the hormonal changes that occur with age. In a woman's body, all metabolic processes slow down, the immune system is weaker, the body “flares”, it becomes unpredictable, as a result, instead of reducing the inner layer of the uterus (due to a decrease in the level of estrogen in the blood), the opposite happens.
The main causes of the disease are:
- A high level of progesterone and estrogen in the blood - it would seem that the level of sex hormones should decrease with age, but the hormonal failure in all proceeds differently,
- obesity - when the body lacks sex hormones, it begins to compensate for this lack of fat deposits. However, the fat itself cannot produce progesterone, as a result, the endometrial tissue grows,
- old, untreated infections,
- diabetes - in this pathology, the sex glands function poorly. This factor can provoke endometriosis during menopause,
- genetic predisposition - another cause of endometriosis in menopause,
- surgery - genital surgery, multiple abortions.
How is the disease manifested
The symptoms of menopausal syndrome may be different. Much depends on the prevalence and nature of the lesions. In some women, symptoms are strongly pronounced, in others they are almost not felt.
Symptoms of the disease during menopause:
- excessive irritability,
- frequent dizziness,
- nausea and vomiting,
- spotting vaginal discharge (sometimes with blood),
- recurrent abdominal pain,
- blood in the feces or urine (a rare symptom).
Many women do not pay attention to the manifestation of the disease, they consider any malaise to be an ordinary symptom during menopause. And in vain, because not diagnosed in time endometriosis during menopause can bring to:
- severe anemia - frequent bleeding leads to a decrease in hemoglobin level,
- peritonitis - when endometrial tissues spread beyond the reproductive system, inflammatory processes in the abdominal cavity may occur,
- cancer - if you do not treat endometriosis, it can lead to the development of tumors.
The prognosis of treatment depends on timely referral to specialists.
Possible treatment of endometriosis in postmenopausal and premenopausal women. Treat mainly applying:
- drug technique,
- surgical intervention.
The required method and dosage of drugs prescribed by the attending physician. Treat this disease can also folk remedies.
Used hormonal drugs. Very often prescribed combination drugs with low levels of progesterone and estrogen. For example:
If endometriosis has been transformed into a malignant tumor, the doctor prescribes medications containing progesterone:
Androgens are also used to lower the level of estrogen in the blood:
In addition to drug therapy, you need to eat a balanced diet, consume a lot of vitamins. A woman should monitor the condition of the bone tissue, blood vessels and heart, they may suffer during treatment. To avoid this, they need to provide additional support.
Many doctors after having been diagnosed with endometriosis during menopause, advised surgery. However, such treatment is indicated when it comes to:
- endometriosis in the ovaries,
- extragenital form of pathology.
In such cases, drug therapy is not very effective, the risk of complications is high.
The doctor prescribes the necessary tests, only then makes a decision about the operation.
Laposcopy is another effective solution. It is a puncture in the abdomen with a laporoscope. Abdominal tissues are not dissected. The recovery period after the procedure is small. It is worth noting that after laparoscopy, there may be some kind of discharge, this should be reported to your doctor.
Folk remedies for the treatment of endometriosis are also often used. However, this type of treatment does not save a woman from pathology. He has an additional character and only. Before using herbs, you should consult with your doctor. Are popular:
- infusion of boron uterus - 2 tbsp. spoon dried leaves pour half a liter of boiling water. Cover the entire contents, wrap the pan with a towel. Wait fifteen minutes and strain. Take this: 1 tbsp. spoon an hour before meals 3 times a day. Duration - up to 30 days. It is recommended to repeat a month later.
- decoction of the root of the red brush - 1 tbsp. Spoon the root with boiling water and cook for fifteen minutes. Content let it brew for about 45 minutes. Drink this broth is necessary for half an hour before meals three times a day,
- propolis for douching - do enema 2 times a day.
Herbs can be harmful if used improperly. No need to use herbal substances, if not necessary. In addition, women's health depends on lifestyle. If a woman in the period of menopause stops caring for her health, she may show some gynecological diseases that are associated with the restructuring of the body.
Why does the endometrium grow in women with menopause?
Excessive proliferation of endometrial cells during menopause in women occurs for various reasons. Endometriosis during menopause can trigger the following changes in the body:
- In the period of extinction of ovarian function, hormonal changes occur, leading to an imbalance of hormones. At this stage, estrogens substantially prevail over progesterone, which gives an impetus to the growth of cells.
- With insufficient production of female sex hormones, in the body of women there is a process of inadequate replacement by lipid tissues (obesity). Since fat is not able to replace progesterone, the amount of estrogen is off the scale, which leads to the growth of the endometrium.
- The high content of glucose in the blood in premenopause provokes active growth of the endometrium. Due to the extinction of the functions of the gonads, even a minimal amount of estrogen leads to an intensive increase in the number of cells in the uterine mucous tissue.
- When chronic, neglected forms of infectious diseases, late treatment of inflammatory processes, due to excessive stress on the reproductive organs, there is a change in the structure of the endometrium, which is more pronounced during climax.
- Any manipulation, treatment, leading to injuries on the genitals, surgical intervention, hysteroscopy, surgical abortion. Scar tissue is an excellent soil for cell division.
- It is not necessary to exclude a hereditary factor, since the connection between the diseases of the older relatives and the younger generation can be traced.
The true causes of endometriosis in menopause in women are not fully understood. The science should find out why, while reducing the function of the reproductive organs, intensive division of the endometrial cells appears.
Symptoms of endometriosis
In the period of menopause, the disease is difficult to diagnose, since the symptoms of endometriosis in menopause, accompanying the physiological process, layered on comorbidities. Violation of the integrity of the tissue causes bleeding, it contributes to the formation of scarring with inflammatory processes.
The severity of symptoms varies depending on the intensity of the lesion and the location of the formed lesions. Most often, a woman may notice the following changes in the body:
- Disruptions in the menstrual cycle (this symptom misleads women, as it is similar to the beginning of menopause). With the localization of endometriosis in the ovary, the formation of cysts, which tend to lead to disturbances in the ovario-menstrual cycle.
- Pain in the lower abdomen and sharp abdomen due to the proliferation of the endometrium in the peritoneum. When blood enters the peritoneum, irritation occurs, which often leads to surgical treatment.
- Endometriosis in menopause in women is manifested by pulmonary hemorrhage, with cough and blood sputum. In such cases, exclude pulmonary edema.
- Toxin poisoning due to endometrial detachment, accompanied by chills, bouts of nausea and vomiting, weakness, loss of strength, hyperthermia.
- The appearance of bleeding, alternating with intense secretions and the impact of this factor on the structure of the blood (anemia).
- When endometriosis occurs a violation of psycho-emotional state, a tendency to depression, irritability, sleep disturbance.
- With minor lesions, the course of the disease passes without obvious clinical signs. In such cases, the woman looks pale and tired, with a lack of appetite.
Often endometriosis in postmenopausal does not manifest itself. It is worth noting that this is not a reason for excitement. Endometriosis, the period of menopause in women, appears mainly for two main reasons: due to a decrease in the barrier functions in the body and hormonal imbalance. Estrogen is produced during the development of the egg, which does not occur during menopause, and good immunity promotes the removal of unwanted cells from the body naturally. Reduction of estrogen during postmenopausal treatment promotes the diagnosis of endometriosis without treatment.
Many women with the onset of menopause gynecological ailments disappear by themselves, but not all. In some, the symptoms of endometriosis with menopause become more pronounced and require urgent treatment. Often the first signs of illness appear simultaneously with the onset of age-restructuring of the body, are found in the treatment of other severe pathologies, and do not always have a favorable prognosis:
- Blood loss can develop post-hemorrhagic anemia. How long the blood loss process will be depends on the level of progesterone. A hormone deficiency does not allow the bleeding to end, and after the cessation of secretions, little time is given for recovery, with the result that a series of bleeding leads to depletion of the body.
- The proliferation of the endometrium in menopause leads to the fact that the cells are thrown into the cavity of the peritoneum and lead to the appearance of internal bleeding. The formation of adhesions as a result of the inflammatory process can lead to acute inflammation, even more adhesions and further to peritonitis.
An enlarged endometrium is the cause of the appearance of neoplasms, which, without proper treatment, are transformed into a cancer disease.
During menopause in a woman's body, global changes occur and an unidentified diagnosis causes complications with serious consequences, the prognosis of which is difficult to predict.
The female gynecologist diagnoses the disease in women, based on the results of the collected history, clinical signs, as well as the results of the medical examination and instrumental tests. Only then can adequate treatment be prescribed. Map with the history of the disease and examination of the gynecologist - informative methods of diagnosis.
Doubts caused by visual inspection, confirm or exclude by ultrasound. However, it is necessary to understand that in this way it is impossible to identify small foci of endometrial growth. In order to assess the thickness of the endometrium, a study of transvaginal ultrasound is shown. When the thickness is exceeded 5 mm in the period of menopause, several control measurements are made within 6 months. Endometrium more than 8 mm is a reason for surgical treatment (curettage).
Scraping the uterus with a diagnostic purpose is carried out under general anesthesia. The procedure simultaneously has a therapeutic effect. After manipulation, bleeding is eliminated. All contents removed from the uterus are sent for histological examination to determine or exclude cancer cells.
If the endometrium has grown globally over the entire surface of the uterus, a biopsy will help determine the correct tissue thickness. Also, such a study reveals the development of pathological processes and the likelihood of oncology in women.
Sometimes doctors prescribe an invasive procedure using contrast - x-rays of the uterus and fallopian tubes. Thus it is possible to determine the presence of polyps, neoplasms, the development of adhesive processes in the fallopian tubes.
The conservative method is the first thing that specialists prescribe for the treatment of endometriosis. It is based on the use of hormonal drugs:
- Contraceptives for oral use, they are effective in the postmenopausal period with abnormal hormone levels. The duration of treatment is determined by a leading specialist.
- Derivatives of norsteroids. With endometriosis, long life spirals help well. The advantage of this method of treatment in local action.
- Androgen derivatives are used for a period of six months to 9 months.
- With symptoms that worsen the quality of life, prescribed medications designed to alleviate the symptoms (sedatives, antispasmodics, enzyme substances).
After surgery, combined therapy is used to normalize the hormonal background. To prevent the development of adenomyosis after surgical manipulation, hormone therapy is used, which stops the growth of the endometrium and does not allow it to grow into the uterus.
Important! Symptoms that indicate diseases that manifest themselves in the period of menopause in women deserve attention. You should immediately get a checkup at a doctor, check your hormones and eliminate dangerous illnesses.
The only effective way to avoid illness during menopause is preventive measures:
- Visit the gynecologist should be once in 6 months. In this case, the inspection should not be limited to the chair. The patient must undergo an ultrasound scan and be tested for hormones. Keep hormone levels under control.
- You should review your diet and give preference to a healthy balanced diet. By eliminating harmful and useless products, you can positively affect the hormones and keep the weight within normal limits.
- Choose appropriate contraception to prevent abortion and STDs. It is important not to start inflammatory processes and infectious diseases.
In the presence of an intrauterine device, women constantly monitor the attending physician.
Bleeding, pain, nervous tension should not be ignored. Timely recourse to a specialist will help avoid complications and improve the quality of life.