On what day of cycle to do an ultrasound for endometriosis?
One disease, significantly reduced the age of their patients is endometriosis. Almost always it can be diagnosed using ultrasound. Although in some cases endometriosis is not visible on the ultrasound, and it can only be assumed by the presence of certain symptoms.
That is why it is necessary to possess relevant information about the disease. What are the symptoms may point to endometriosis, and on what day of cycle to do an ultrasound in order to be as informative as possible?
The types of pathology
Endometriosis is a disease of women of reproductive age (15 to 50 years, but is most common in women 20 to 40 years) in which grow the tissues lining the inner surface of the uterus (endometrium). The growth can be internal (when it does not extend beyond the uterus) and external (when it affects other organs). With external endometriosis can suffer all the surrounding areas:
- the intestines.
In addition, endometriosis may be diffuse, focal and nodular. In the diffuse form of the disease, the endometrium grows uniformly without forming foci in focal form, on the contrary, there are local lesions. When a node are the nodes of various diameter, most often multiple.
And also endometriosis different stages:
- first stage – onset of the disease, and invasion of the endometrium is shallow, the process is easily reversible competent drug therapy;
- the second stage – germination deepen, in parallel, may be affected by the new zone. At this stage, drug therapy may still be effective;
- the third stage – the area of damage is further increased, the endometrium grows deep. The likelihood of cure with drugs already extremely low, most likely the medical – surgery;
- stage four – the most severe, endometriosis covers the nearby organs, and completely affects the tissues. Without surgery now it can not do, and success is, unfortunately, not guaranteed.
The doctors still can’t agree on the causes of endometriosis, but there are factors that increase the risk of its occurrence:
- disruptions of the endocrine system;
- goes untreated inflammatory diseases;
- surgery (abortion, cesarean section);
- frequent stress, etc.
Probably, cause a significant increase in cases of endometriosis still lies in the life of modern women. If before women began to give birth to 14-16 years, and passed his life in 10 or more genera, now the average age of women giving birth to a first child is 25.5 years (according to official figures) and the number of births declined until two or three in a lifetime.
This despite the fact that pregnancy is the best prevention of endometriosis. In the presence of the initial stages of the disease the doctor may ask about whether there is in the nearest plans of pregnancy (because then the treatment may not be necessary).
When should I start worrying?
Symptoms that indicate the presence of endometriosis, a lot, but they don’t appear all at once, which often complicates the diagnosis. So, for endometriosis may include:
- irregularity of the menstrual cycle;
- abundant and painful menstruations;
- period lasting longer than 6 days, and before them and after them possible spotting;
- the presence of a large number of clots in menstrual blood;
- abdominal pain outside of menstruation;
- spotting in mid-cycle;
- discomfort or pain during sexual intercourse;
- the inability to get pregnant: on average this problem faces every third of cases.
So, having as its sole symptom, for example, discomfort during intercourse, endometriosis can cleverly hide and grow, without being discovered by anyone. It is because of these insidious diseases, women are recommended to be screened regularly regardless of whether it finds himself sick or not.
Diagnosis of endometriosis
Endometriosis can be assumed in the clinical picture and sometimes confirm for gynecological examination (for example, if you hit the cervix or vagina). However, in most cases it is ultrasound is a necessary procedure for accurate diagnosis.
Ultrasound in endometriosis shows the results of fairly high accuracy (over 90%) and requires consideration in some detail. In particular, you need to follow the diet the entire day before the procedure to eliminate flatulence.
And also pay attention to the following caveat: abdominal ultrasound requires a full bladder, which before the procedure, you should fill it from the heart, for the same transvaginal ultrasound, on the contrary, you must have an empty bladder, so before the procedure is to use the bathroom.
And that’s not all. Important is the fact what day of cycle to go to the survey. Most often recommended to do an ultrasound in the range from 25 th to 29-th day, because of the variability of the structure of the endometrium. Its thickness varies according to the days of the cycle under the influence of hormones, and within the specified time period there is an increase in abnormalities, if they exist, and they become easy to spot.
How it manifests itself endometriosis on ultrasound? The doctor will pay attention to the following features:
- the uterus is enlarged or has an atypical form;
- the uterine wall uneven, asymmetrical;
- endometrial tissue fuzzy;
- the presence of areas of increased echogenicity (density);
- the presence of nodules.
Treatment and prevention
Treatment of endometriosis involves two options: hormone therapy or surgery followed by hormone therapy.
Hormone therapy often reduced to the use of oral contraceptives, as it allows to kill at once two hares: to suppress the growth of the endometrium and prevent possible pregnancy. But you can be given medication and other groups, which are many. To understand them is extremely difficult, therefore, consultation of the gynecologist is necessary.
Taking into account the clinical presentation, ultrasound findings, as well as the individual characteristics of the patient (weight, age, presence of children) gynecologist with a high degree of probability it will pick up a drug that effectively work on disease and does not cause side effects.
Generally, the term hormone therapy is calculated by months and often years. Many women after treatment endometriosis is renewed in its previous form.
Surgical treatment is carried out in cases where hormone therapy is not valid (this also happens), or if the disease has already gone too far. Whatever it was, but even after a successful operation without a course of hormones is not enough. This is to prevent the imminent recurrence of the disease. In advanced endometriosis in women by age close to menopause, it may be advisable to remove the uterus and appendages.
The importance of the screening says a lot and everywhere, it’s subconsciously known to all. However, maintaining this unit. It’s much easier to convince yourself that failure cycle is the result of recent stress, and painful periods – a characteristic.
On the first plan, is health, be all sorts of things that has no end, and which again and again postpone going to the doctor at the end of the queue. Such women are an easy target for all sorts of diseases, developing hidden up to the point when drug therapy becomes ineffective.
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