The ectopic endometrium invades the intestinal wall to form a mass, oppresses the rectum, and produces the feeling of urgency and heaviness. It can have pelvic pain, rectal pain, periodic rectal bleeding, diarrhea, constipation, and sexual intercourse pain, and it can cause intestinal obstruction when it is obvious.
The digital rectal examination can touch the mass outside the intestinal wall or mucous membrane, with obvious tenderness and smooth and complete mucous membranes. Urinary endometriosis can invade the whole layer of bladder and ureter, and also the kidney.
Most of the symptoms are urinary tract irritation related to menstrual cycles, such as frequency of urination, the urgency of urination, and dysuria.
The most insidious symptoms were lumbago and hematuria during menstruation; the most common symptoms were renal dysfunction, lumbago and abdominal pain and hematuria with the ureter, and upper urinary tract obstruction with hypertension; the most common symptoms were frequency of urination, pain in the bladder area, pain in urine and hematuria, which were obvious or aggravated during menstruation, but not only in vesicovaginal area Symptoms of malaise or menstrual discomfort.
Diagnosis
It is very important to identify the site of DIE before surgery because the therapeutic effect is significantly related to the thoroughness of surgical resection. The corresponding information can be obtained by asking symptoms, gynecological examination, and preoperative auxiliary examination.
Pain and infertility are the main symptoms of DIE, and its clinical manifestations such as dysmenorrhea, deep sexual intercourse pain, aperiodic lower abdominal pain, intestinal and urinary tract symptoms are closely related to the location of the lesions.
The location of the corresponding lesions can be understood by asking the symptoms. We should know the relationship between pain symptoms and menstrual cycle, whether it is aggravated in the menstrual period, and whether the use of drugs to inhibit ovarian function can reduce pain symptoms.
