Ladies, don't underestimate long-term menstrual pain, be careful of suffering from chocolate tumor and cause infertility crisis

It is believed that many women have suffered from menstrual pain, but if the menstrual pain continues to worsen, they may suffer from chocolate tumor.

Don't underestimate chocolate tumor, it is a type of endometriosis and is also a common gynecological disease; it is not only painful, but also has a chance of infertility.

Endometriosis cannot be prevented, and some have no symptoms.

Written by: Li Wenxuan, Medical Consultant, Obstetrics and Gynecology Specialist

During puberty, women are affected by hormones that periodically release eggs; at the same time, the lining of the uterus thickens in preparation for pregnancy.

If the egg is not fertilized, the thickened lining of the uterus is excreted along with menstruation.

However, some endometrial linings are not excreted from the vagina, and will flow back to the organs near the uterus. The most common one is attached to the surface of the ovary through the fallopian tube, and a small amount of menstrual blood is discharged every month.

The color of these old menstrual blood is mostly dark brown, so it is also called chocolate tumor.

The most common symptom of chocolate tumor is pelvic pain that is very similar to menstrual cramps. It is usually excruciatingly painful, and some women need to be sent to the hospital for painkillers. In addition, patients usually experience pain before or during menstruation. , the pain is mostly concentrated on one side of the body.

Patients have a higher chance of infertility or miscarriage.

People at high risk of developing chocolate tumor include heavy menstrual blood, short menstrual cycle, or never pregnant.

In addition, if a relative has had endometriosis, it may also increase the possibility of endometrial displacement.

In general, people with chocolate tumors have a higher chance of infertility.

It is also said that the symptoms of endometriosis will decrease after pregnancy. This is because the hormones will change after pregnancy, and pregnant women will not have menstruation, reducing the stimulation of chocolate tumor, so the pain is not so strong.

However, it should be noted that this does not mean that the chocolate tumor has completely disappeared, and it is also necessary to pay close attention to the condition.

In addition to chocolate tumor, adenomyosis is also a type of endometriosis, that is, the backflow of menstrual blood vessels into the uterine muscle layer.

The symptoms of both are also severe abdominal pain, and adenomyosis can cause heavy menstrual flow.

The treatment methods of the two are completely different. In addition to taking progesterone and contraceptives to control the condition, chocolate tumors can also be surgically removed. However, adenomyosis involves a lot of surrounding muscle tissue, and it is difficult to completely remove it by surgical excision, except hormonal drugs. In addition to controlling the disease, it can only be eliminated by high-intensity focused ultrasound (HIFU) or the entire uterus has to be removed.

The above two diseases are absolutely possible to occur in the patient at the same time.

In addition to causing chocolate tumors or adenomyosis, menstrual reflux can actually lead to other conditions in the body.

There was a patient who would cough up blood or even "explode the lungs" during menstruation, only to find out that the endometrial displacement has moved to the nose and lungs, and an immediate surgical resection is required.

These cases are relatively rare.

However, after the chocolate tumor is removed, it is not a once and for all, and hormonal drugs are also taken after the operation to prevent recurrence.

It is recommended that women, especially women who plan to have children, receive a gynecological examination once a year for early detection and treatment as soon as possible.

"01 Medical Clinic" cooperates with the charity group 【Peace for Health】 to publish medical articles written by medical staff every Sunday.

Established in 2019, Physicians for Charity hopes to gather the love and strength of the society, and encourages people who are willing to actively participate in the volunteer programs organized by Physicians for Charities, to showcase their strengths and help the disadvantaged.

Through the operation of a professional team, the Medical Association is committed to improving the confidence of sponsors and sponsoring organizations, so as to achieve the goal of taking and using the society.

The website will also provide the public with correct medical information; it will also organize irregular medical and health talks and free clinics, and actively cooperate with other community organizations and medical institutions to provide the public with various discounts on medical services.

Vaccine Power Against Variant Virus The Fourth Injector Antibody Falls Less Exercise During the Epidemic Period or Affects Bone Health Concerned about Stress Avoidance of Sequelae Under the Epidemic High-risk government that has never been vaccinated against smallpox must prepare early