Effective physiotherapy procedures for endometriosis. Endometriosis - symptoms and treatment Treatment of endometriosis with current

Endometriosis is one of the most common pathologies of the female reproductive system. In its treatment, any effective and safe methods are carried out that can reduce pain, improve the quality of life of the patient. Physiotherapy for endometriosis is considered the best option additional treatment to complex pathogenetic therapy. This method is good in that it enhances the effect of the main method of treatment.

When is physiotherapy prescribed?

Physiotherapy has many positive properties that make the treatment of any pathology, including endometrial growth, comfortable and painless. This method of therapy for endometriosis is the safest, patients do not feel discomfort and pain during the procedure.

The devices have an impact directly on the part of the body in which the pathological process takes place. But physiotherapy is not an independent type. medical care. It is part of the whole medical complex, helps to enhance the effect of other methods of treatment.

In most cases, physiotherapy procedures for endometriosis are prescribed as an additional method of treatment for hormonal drugs for women who have initial stage this disease. Usually, such a method is necessary after a surgical intervention in order to reduce pain, eliminate inflammation and avoid the adhesion process. The peculiarity of alternating physiotherapy procedures and hormones is that it helps to reduce the hormonal load on the female body.

Physiotherapy is widely used in cases where doctors detect endometrial growth at a young age. Surgical treatment in such situations is quite rare, and the procedures can delay surgery for a long time and normalize the mental state of the patient.

There are also other indications for which this harmless and effective method treatment. These include female intolerance hormonal drugs owing to which physiotherapy comes to the fore. Such intolerance may appear due to the presence of concomitant pathologies in a woman.

Physiotherapy procedures perfectly help in the prevention of the process of adhesions in abdominal cavity during the postoperative period. They are also great for chronic pelvic pain syndrome. Usually, this procedure is combined with drugs.

Only the attending physician can say for sure whether the patient has indications for the treatment of endometriosis with physiotherapy procedures. In addition, he must explain why this or that kind of them is so necessary, and how it affects the female body.

Types of physiotherapy for endometriosis

Electricity treatment

There are currents that have a low frequency, which can relieve pain and produce a calming effect. This method of physiotherapy procedures does not cause the formation of estrogen, so its use is harmless for women with endometriosis.

The use of electrophoresis for endometriosis, carried out using pulsed currents, helps to accumulate the active substances of drugs and gradually distribute them in small doses throughout the body. It plays a huge role in the treatment of chronic processes.

This method of procedures can be performed on all women, except for those who have:

kidney stones and gallbladder;
suspected malignancy.

magnet therapy

Biological tissues of the human body are characterized by high magnetic permeability. This gives the magnet's field a chance to penetrate almost any depth. The method does not produce a thermal effect, and also does not contribute to the production of estrogen in endometriosis.

Magnet treatment for endometriosis in women helps:

eliminate the process of inflammation and swelling of tissues;
reduce spasm and sensation of pain;
normalize blood circulation;
stimulate trophism and nutrition of tissues, blood vessels.

If the patients regularly use the treatment with physiotherapeutic procedures for endometriosis, then it will have a pronounced calming effect on the female body due to the stabilization of the blood flow of the central nervous system. Magnetotherapy is often prescribed after surgery in order to speed up the recovery process. female body.

Balneotherapy

This treatment method for endometriosis involves the adoption of radon and iodine-bromine baths. Radon has a special effect on the central and peripheral parts of the nervous system, which allows a woman to overcome the sensation of pain. Treatment with radon baths is carried out in combination with radon microclysters and irrigation of the vagina using radon water.

Baths are also filled with iodine-bromine water, which reduces pressure, normalizes the activity of the thyroid gland, eliminates the inflammatory process, and has a calming effect. When treating with baths, it is necessary to observe the temperature regime, which should not be higher than 35-36 degrees. This is necessary because with endometriosis, thermal exposure is prohibited.

Shortwave ultraviolet and laser radiation

Short-wave ultraviolet radiation for endometriosis in women is used after surgery. Its impact is directed to the wound area. As a result, physiotherapy helps to fight pathogenic bacteria, activates the activity of leukocytes, leads to a short-term spasm of capillaries, and contributes to the rapid process of wound healing.

Laser radiation directed directly at the wound eliminates the process of inflammation and swelling of tissues, eliminates harmful microorganisms, alleviates pain, ensures stable blood microcirculation, and activates the metabolic process in the focus of inflammation.

Also, doctors often combine laser treatment with magnetotherapy for endometriosis. Thanks to this combination, a double therapeutic effect is produced, the rays penetrate deeper into the tissues of the organ. Typically, this method of treating endometriosis is used for the first time after surgery.

Hydrotherapy

This physiotherapeutic procedure is a treatment of endometriosis with the help of coniferous and bischofite baths. They affect the receptors of the skin, causing thermal, mechanical and chemical irritations. Also, their impact is based on reflex changes in blood vessels in the body.

Healing baths for endometriosis in women help to relax, reduce pain, and eliminate spasms. Such effects are achieved due to the fact that water is used with substances such as coniferous extract or bischofite.

During the treatment of endometriosis with physiotherapeutic procedures, indifferent baths are used, the water of which has a temperature of 33–36 ° C. They less than others affect metabolic processes, heat balance and thermoregulation. The therapeutic effect after them lasts 3-4 months.

Negative aspects of physiotherapy

The use of physiotherapy for endometriosis has some negative aspects, which lead to an increase in estrogen levels and an increase in the development of the disease. One of them is various thermal effects on the female body.

There is a whole branch of physiotherapy called climatotherapy that helps women avoid such exposure. It contains recommendations on what should be taken into account by patients with specific pathologies in a certain climatic zone.

The hormonal and sexual spheres of the female body are a very delicate mechanism, the activity of which can go astray due to any sudden changes in temperature and other environmental factors. It is especially important that this does not happen during physiotherapy, otherwise the effect of the treatment may be reduced to zero. Therefore, the attending physician is obliged to tell his patients how they can relax and what should be avoided in everyday life.

Some physiotherapy procedures for endometriosis can lead to hyperestrogenism in a woman. These include:

healing mud;
paraffin;
baths with hydrogen sulfide and turpentine;
currents of subtotal frequency, ultra- and super-frequency;
diathermy and inductothermy;
visiting baths and saunas;

Physiotherapy is not carried out for women who suffer from pathologies requiring immediate surgical intervention. Usually they are various endometrioid cysts, as well as a strong growth of the endometrium in the abdominal cavity, accompanied by pain and partial obstruction.

If a woman is diagnosed with advanced endometriosis, then she is also not allowed to undergo physiotherapy treatment. This is due to the fact that such procedures can only worsen the patient's health or increase the likelihood of malignancy of the process. Also, such treatment is not prescribed for women with profound mental disorders, nervous disorders. Basically, these pathologies accompany the advanced form of endometriosis.

Recommendations for the treatment and prevention of the disease

During physiotherapy treatment for endometriosis, women should reconsider their lifestyle. This will help to quickly cope with the pathology and improve health. For this you need:

to live an active lifestyle. Physical exercise help reduce estrogen levels in women, which helps prevent further progression of the disease;
refuse to use tampons, because they can disrupt blood circulation in the female body, increase pain during menstruation, contribute to the reflux of blood with endometrial cells into the uterine tubes;
adjust your daily diet. Food should provide all the necessary elements. It is necessary to consume as many fruits and vegetables as possible, but coffee, tea, drinks with gas must be limited.

Women can not only help their body get rid of the disease, but also prevent the occurrence of pathology at all. To do this, you should adhere to the following preventive measures:

be sure to visit the gynecologist regularly, at least once every six months;
do not live sexually during menstruation;
do not have abortions;
in a timely manner to treat chronic pathologies related to the field of gynecology;
take measures to combat excess weight, such as diet, exercise;
give preference to hormonal contraception to prevent unwanted pregnancy.

Preventive measures of endometriosis should be carried out not only by women who have not yet suffered from endometriosis, but also by those who have coped with this disease.

Physical therapy is an effective treatment for endometriosis. They have both positive and negative sides. But with the proper competence of experienced doctors, this method of therapy can become a reliable assistant in the fight against female pathology. The most important thing is that the treatment be started on time, then the prognosis for recovery will be favorable.

Physiotherapy treatment is used as a relapse prevention, as well as in cases where other methods cannot be used or are not very effective. The main advantages of physiotherapy include the following:

it is safe if the method is chosen correctly;
not accompanied by unpleasant or painful sensations, even relaxing;
can be combined with other treatments or added to the effectiveness of drugs during the procedure;
it is relatively inexpensive.

Physiotherapy for endometriosis primarily helps to relieve pain. This allows you to improve the quality of life of a woman, improve her intimate relationships. Physiotherapy often normalizes the menstrual cycle, restores reproductive function, and prevents the progression of the adhesive process.

The main indications for the appointment of the course:

. This can be confirmed during the operation or come only from complaints and non-invasive examinations. Physiotherapy helps to somewhat slow down the progression of the disease, reduce the likelihood of adhesions, "gives you a break" from hormonal drugs. It is recommended to use electrophoresis with iodine, therapeutic baths, low-frequency pulsed current therapy.

Treatment of adolescent girls. Physiotherapy replaces the use of painkillers, hormonal drugs, at least for a certain period of time. Electrotherapy, therapeutic baths (coniferous, bischofite, iodine-bromine, radon) are recommended.
As an alternative treatment for women with hormonal intolerance. It is recommended to use electrophoresis with iodine, impulse currents, therapeutic baths.
Reducing the severity of pelvic pain. Can be used in between hormonal treatment, after surgery. Usually pulsed currents, electrophoresis with iodine, balneotherapy, hydrotherapy are used. Radon therapy is especially effective, the effect of which lasts up to six months.
To prevent adhesions, including after operations. In the latter case, physiotherapy can be started already from the first day - magnetotherapy, laser therapy, KuV radiation.
With the progression of endometriosis. The influence of resort factors is recommended - climate, balneo-, hydrotherapy, psycho- and kinesitherapy. Such methods increase the likelihood of pregnancy, regulate the menstrual cycle.

Contraindications to physiotherapy:

the presence of endometrioid cysts - it is believed that this may affect their malignancy;
advanced (stage 3-4) endometriosis - in this case, physiotherapy will not be effective, it is indicated only after radical surgical treatment;
mental illness that requires treatment with psychotropic drugs.

What can and cannot be done from physiotherapy:

Magnetotherapy. The main effect in endometriosis is the influence of low and high frequencies magnetic fields. This has a beneficial effect on cellular metabolism, improves the functioning of enzymes, and stimulates blood circulation. In general, there will be a general strengthening effect, an increase in immunity. The impact can be carried out locally on the pelvic area or on the whole body, can be combined with other methods.

It is impossible to carry out magnetic therapy in the following cases: with hypertension, epilepsy, blood diseases, exhaustion, fever.

Electrophoresis. The therapeutic effect is due to the effect electric current, which improves the penetration of drugs deep into tissues, creating locally high concentrations. During the procedure, you can quickly deliver high concentrations of the drug to the affected area. The course is usually 10 to 15 sessions. One procedure lasts about 20 minutes. For the treatment of endometriosis, solutions of Lidase, Magnesia, Hydrocortisone and others are usually used.
Hirudotherapy. Modern medicinal leeches- a safe and effective method of treatment, including gynecological diseases. Organisms are specially grown and then used once, which prevents the transmission of infections. The procedure has its own list of contraindications. Leeches, sucking, leave microbites, through which biologically active substances enter the woman's body.

Location points of leeches in gynecology

During the procedure, leeches are placed on the skin or mucous membranes (effectively applied to the vaginal vaults and even to the cervix), usually no more than 10 pieces, and less in the first procedures. Each individual pierces the skin to a depth of about 1-2 ml and consumes up to 20 ml of blood.

As soon as saturation has occurred, the leech falls off. If you need to finish the procedure earlier, a napkin with iodine or salt is applied.

Hirudotherapy

Hirudotherapy for endometriosis helps to remove blood stasis, has an anti-inflammatory, immunogenic effect. This leads to a decrease in the severity of pain, the normalization of the menstrual cycle.

Balneotherapy. The use of radon, iodine-bromine, coniferous baths is effective. The first ones are the most effective, this is how radioactive water enriched with radon isotope affects the body. Even more effective is the use of microclysters for vaginal and rectal irrigation, while the disintegration of particles occurs in close proximity to pathological foci. It is not used for blood diseases and before 18 years of age.

Iodine-bromine baths saturate the body with the appropriate microelements, resulting in an anti-inflammatory, sedative effect, improves the functioning of the thyroid gland, and metabolism. Coniferous baths have a relaxing effect, improve the functioning of the nervous system, strengthen the immune system, improve blood properties and have an anti-inflammatory effect.

Laser and ultrasonic influence It is used to accelerate rehabilitation in the postoperative period, to prevent the formation of adhesions both immediately after the intervention and some time after it. It turns out a pronounced anti-inflammatory effect, which accelerates the healing of tissues.

Cavity electro- and ultrasound therapy

It is contraindicated to use physiotherapy for endometriosis, which cause an increase in estrogen levels, thereby provoking the progression of the disease:

healing mud;
baths and saunas.

Read more in our article on physiotherapy for endometriosis.

Read in this article

Benefits of physical therapy for endometriosis

Physiotherapy treatment is used as an auxiliary - as a prevention of relapses, as well as in cases where other methods cannot be used, or they are not very effective. Considering that knowledge about endometriosis is constantly updated, approaches and methods of therapy are changing somewhat.

The main advantages of physiotherapy for endometriosis include the following:

the impact on the body is carried out within the framework of the physiological, since such factors are elements of the environment;
physiotherapy is, first of all, the safety of treatment if the method is chosen correctly;
treatment is not accompanied by any unpleasant or painful sensations, but on the contrary, it often helps to relax;
You can act locally without affecting other organs and tissues;
physical impact can be combined with other types of treatment or added to the effectiveness of drugs during the procedure;
it is relatively inexpensive.

Physiotherapy for endometriosis primarily helps to relieve pain, which is the main complaint in case of illness. This allows you to improve the quality of life of a woman, improve her intimate relationships. Physiotherapy often normalizes the menstrual cycle, restores reproductive function, and prevents the progression of the adhesive process. In the complex, a woman can even forget for a while that she suffers from endometriosis.

When is physiotherapy indicated for endometriosis?

The main indications for the use of physiotherapy procedures are certain situations.

Early stages of endometriosis

This can be confirmed during surgery or comes only from complaints and non-invasive examinations. Physiotherapy helps to somewhat slow down the progression of the disease, reduce the likelihood of adhesions, "dates to rest" from hormonal drugs. It is recommended to use electrophoresis with iodine, therapeutic baths, low-frequency pulsed current therapy.

Treatment of adolescent girls

Physiotherapy in this case wins in that it replaces the use of painkillers, hormonal drugs, at least for a certain period of time. Electrotherapy, therapeutic baths (coniferous, bischofite, iodine-bromine, radon) are recommended.

Air radon baths

As an alternative treatment for women with hormone intolerance

For example, this is possible due to the expressed side effects during therapy. It is recommended to use electrophoresis with iodine, impulse currents, therapeutic baths.

Reducing the severity of pelvic pain

You can use physiotherapy during breaks in hormonal treatment, after surgery. Usually pulsed currents, electrophoresis with iodine, balneotherapy, hydrotherapy are used. Radon therapy is especially effective, the effect of which lasts up to six months.

To prevent adhesions, including after operations

Especially after operations, physiotherapy can be started already from the first day - magnetotherapy, laser therapy, KuV radiation.

As endometriosis progresses

The influence of resort factors is recommended - climate, balneo-, hydrotherapy, psycho- and kinesitherapy is also useful. Such methods increase the likelihood of pregnancy, regulate the menstrual cycle.

Contraindications to physiotherapy

There are a number of situations when physical therapy for endometriosis should not be done. These include the following:

the presence of endometrioid cysts - it is believed that this may affect their malignancy;
advanced (stage 3-4) endometriosis - in this case, physiotherapy will not be effective, it is indicated only after radical surgical treatment;

mental illness against the background of existing problems with endometriosis, which requires treatment with psychotropic drugs.

Do's and Don'ts of Physiotherapy

In each clinical case, the appointment of physiotherapy for endometriosis should be carried out by a doctor, since depending on the stage and manifestations, the range of possible methods may vary.

Magnetotherapy

The main effect of magnetic therapy in endometriosis is the influence of low and high frequencies of magnetic fields. This has a beneficial effect on cellular metabolism, improves the functioning of enzymes, and stimulates blood circulation. In general, there is a general strengthening effect, an increase in immunity.

Magint therapy can be used both in the postoperative period. So it is in the intervals between hormonal treatment. The impact can be carried out locally on the pelvic area or on the whole body.

Magnetotherapy provides the following effects:

relieves pain;
has an anti-inflammatory effect;
prevents the formation of adhesions;
improves tissue nutrition;
relieves puffiness.

Magnetotherapy can be combined with other methods. The procedure does not cause discomfort and does not have any toxic effects on the body.

You can not carry out magnetotherapy in the following cases:

with hypertension;
epilepsy;
blood diseases;
exhaustion;
with fever.

Electrophoresis

The therapeutic effect is due to the action of an electric current, which improves the penetration of drugs deep into the tissues, creating locally high concentrations. With the help of electrophoresis in endometriosis, high concentrations of the drug can be quickly delivered to the affected area.

The procedure goes as follows way:

Electrodes with gauze attached to them are applied to the skin.
The latter are impregnated with the necessary therapeutic solution.
After turning on the device, weak currents penetrate through the layers of the skin and deliver the drug to the very depths of the tissues.

The course is usually 10 to 15 sessions. One procedure lasts about 20 minutes.

For the treatment of endometriosis, solutions of Lidase, Magnesia, Hydrocortisone and others are usually used.

Hirudotherapy

Modern medical leeches are a safe and effective method of treatment, including gynecological diseases. For use, these organisms are specially grown and then used once, which prevents the transmission of infections. On the eve of hirudotherapy, it is necessary to consult a doctor, since the procedure has its own list of contraindications.

Leeches, sucking, leave microbites, through which biologically active substances enter the woman's body:

hirudin - affects the properties of blood, prevents the formation of clots;
hyaluronidase - increases the availability of drugs that are used in complex treatment;
histamine-like substances - relieve swelling, inflammation;

During the procedure, leeches are placed on the skin or mucous membranes (effectively applied to the vaults of the vagina and even to the cervix), usually no more than 10 pieces, and fewer in the first procedures. Each individual pierces the skin to a depth of about 1-2 ml and consumes up to 20 ml of blood.

As soon as the leech is saturated, it falls off on its own. If you need to finish the procedure earlier, a napkin with iodine or salt is applied, after which the individual crawls away on its own.

For some time, blood may ooze a little from the bite site, so a bandage is applied to this area.

Hirudotherapy for endometriosis helps to remove blood stasis, has an anti-inflammatory, immunogenic effect. This leads to a decrease in the severity of pain, the normalization of the menstrual cycle.

Watch this video about the use of hirudotherapy in gynecology:

Balneotherapy

With endometriosis, the use of radon, iodine-bromine baths, as well as coniferous baths, is effective. In each case, a different method is chosen. The most effective is the use of radon baths, while the woman's body is exposed to radioactive water enriched with the isotope of radon.

Even more effective is the use of microclysters for vaginal and rectal irrigation, while the disintegration of the particles occurs in close proximity to the pathological areas. It is not used in blood diseases and in degenerative/adolescent age.

Iodine-bromine baths saturate the body with the appropriate microelements, resulting in an anti-inflammatory, sedative effect, improves the functioning of the thyroid gland, and metabolism.

Coniferous baths have a relaxing effect, improve the functioning of the nervous system, strengthen the immune system, improve blood properties and have an anti-inflammatory effect.

Laser and ultrasound

Laser and ultrasound effects are used to speed up rehabilitation in the postoperative period, to prevent the formation of adhesions both immediately after the intervention and some time after it. It turns out a pronounced anti-inflammatory effect, which accelerates the healing of tissues.

What are contraindicated physiotherapy for endometriosis

The use of physiotherapy for endometriosis is contraindicated, which cause an increase in the level of estrogen in the blood, thereby provoking the progression of the disease. These methods include the following:

healing mud;
exposure to warm paraffin and sand;
hydrogen sulfide, sodium chloride, sulfide baths;
diathermy, inductothermy, exposure to ultra- and ultra-high frequency currents;
massage of the lumbosacral region;
baths and saunas.

Physiotherapy is widely used for endometriosis. This treatment practice helps to reduce the progression of the disease during periods free from taking hormonal drugs, and is also the main type of treatment for adolescents and women who, for a number of reasons, cannot use drug therapy.

In each clinical case, the method of physiotherapy is selected individually. Some of the most effective are radon exposure, hirudotherapy, magnetotherapy.

Useful video

Watch this video about the use of physiotherapy in gynecology:

Article last updated 07.12.2019

Endometriosis is a disease in which the endometrium (inner layer of the uterus) grows outside of it. Pathology is more common in young women of childbearing age, which compromises reproductive function. Treatment of the disease is effective with an integrated approach and timely detection of violations. Doctors often prescribe physiotherapy for endometriosis.

It is effective in an integrated approach, but is rarely used as an independent therapeutic method. Only an experienced gynecologist can prescribe treatment procedures based on the results of tests and a thorough examination.

Endometriosis is treated through drug therapy, surgery, and supportive measures. Physiotherapy is indispensable in relieving inflammation, eliminating pain and accelerating the recovery process after surgery. A well-chosen combination of methods guarantees the preservation of the reproductive function of a woman.

Physiotherapy prescribed for endometriosis is characterized by numerous advantages. The method is completely safe and harmless, you can act on a certain area of the body, such as the lower abdomen, the procedures do not provide discomfort, pain or discomfort. The maximum effect can be achieved by combining hormonal and physiotherapy treatment. Independently physiotherapy is prescribed in a number of cases, namely:

intolerance to hormonal drugs;
young age of the patient;
relief of pain in the small pelvis;
prevention of adhesions.

Treatment of endometriosis through physical therapy is not always possible. If the growth of the endometrium has entered the last stage, do physical exercise or thermal procedures are not allowed. They are also prohibited during the development of the endometrium in the abdominal cavity, such indications are the reason for a surgical operation. Mental and nervous disorders are also included in the list of contraindications.

Types of physiotherapy for endometriosis

Physiotherapeutic procedures are divided into two large groups - natural (hydrotherapy, climatotherapy and balneotherapy) and artificial (ultrasound, phototherapy, magnetotherapy, etc.). The choice of direction depends on the age of the patient, the nature of the problem, the presence of contraindications. Most commonly used today:

Therapy with magnets. A woman's body is affected by alternating magnetic fields with low frequencies. As a result, blood circulation is accelerated, biochemical reactions are restored, and metabolism is normalized. The course of magnetic therapy for endometriosis allows you to adjust the menstrual cycle, relieve pain, and eliminate swelling.

Electrophoresis in endometriosis. The body is affected by low-frequency pulsed currents. Also, special preparations are introduced into the tissues that do not cause allergies, but have a local and tonic effect. Electrophoresis with Lidaza or Hydrocartisone stimulates the processes of regeneration and restoration of the hormonal background.
Treatment with laser and ultrasound. This type of therapy is extremely effective during rehabilitation after surgery to remove endometriosis. The laser and the impact of the ultrasonic flow relieve pain, relieve swelling, and eliminate inflammation. Also, the technique has an excellent bactericidal effect.
Balneotherapy. Iodine-bromine and radon baths for endometriosis have an excellent effect on the state of the nervous system, increase immunity and relieve pain. They have a tonic, sedative and hypotensive effect.

Hydrotherapy. Coniferous baths and bischofite for endometriosis are used in courses lasting 4 months. They have a relaxing effect, relieve pain and spasms, and soothe.
exercise therapy. Physical activity for endometriosis should be selected by an experienced physiotherapist. Physiotherapy exercises can be practiced on early stage development of pathology. Kegel workouts are very popular, strengthening the pelvic floor and lower abdomen.

In order for physiotherapy not to harm your health, it is necessary to study all possible risks, consequences and complications in advance, and discuss them with your doctor. Failure to follow simple rules can reduce the entire positive effect to zero.

Women's opinions about physical therapy for endometriosis

To understand how effective physiotherapy is in gynecological pathologies, in particular, endometriosis, it is necessary to study the reviews of those who have already experienced ultrasound, balneology, electrophoresis and other areas of physiotherapy on themselves:

"I am 27 years old. I began to worry about pain, vaginal discharge, discomfort during intercourse. I went to the doctor, tests and ultrasound were prescribed. As a result, endometriosis stage 2 was diagnosed. First, I was prescribed hormone treatment. After 6 months of treatment, the situation has not changed. Then the decision was made to carry out the operation. After that, in order to speed up recovery, the doctor recommended a course of ultrasound. I did so. During the control examination, no pathology was detected. Now we are planning a pregnancy with my husband.

“I was diagnosed with endometriosis at the age of 22. The disease was just developing, so the doctor prescribed pills and ultrasound. Treatment did not help, but the disease did not develop. At the age of 25, I decided to have an operation, because I really wanted a child, and the disease prevented conception. After surgery, I again resorted to physical therapy. This time I attended electrophoresis with zinc preparations. This time everything worked out. After 4 months, I managed to get pregnant.”

“In my opinion, physical therapy is a waste of time and money. I did not feel any positive effect from magnetic therapy after the removal of foci of endometriosis. Recovery and rehabilitation period lasted about two months. Pain and discharge did not bother me, but I do not associate this with the influence of a magnetic field. A couple of years later, the situation repeated itself. The growth of the endometrium again began to cause me physical discomfort. In the end, I decided on the complete removal of the uterus with appendages. At that time I was 37 years old. I don't regret my decision. I feel good".

Health is a wonderful state in which a woman is able to harmoniously use all her natural potential.

However, this state is so unstable. V last years the susceptibility of the female body to such processes has significantly increased:

endometriosis
fibrocystic mastopathy
fibromyoma of the uterus
papillomas
warts, etc.

Causes of the disease

According to many researchers, the causes of the development of these diseases are associated with high level estrogens or their certain forms, which, in addition, significantly accelerate the aging process, reduce quality and shorten life expectancy.

Endometriosis is a “mysterious” disease The problem of endometriosis, even in our turbulent time of numerous scientific discoveries, remains unexplored.

Although endometriosis has been known for 120 years, none of the proposed theories still explains the reason for its unexpected occurrence in women, both young and older. However, one position remains unchanged: endrometriosis is basically a hormone-dependent disease that develops, as a rule, against the background of a violation of the body's immune state. It is not easy in a nutshell to briefly and clearly characterize the essence of the processes occurring in a woman's body that lead to endometriosis.

Development of the disease

Endometriosis occurs from the moment of penetration of the elements of the internal, rejected during menstruation, the mucous layer of the uterus - the endometrium, into the thickness of the adjacent muscular layer of the uterus - the myometrium. At the same time, endometrial cells not only penetrate into the adjacent muscle layer, but can go further through the body, but also remain there to function in their usual rhythm of the menstrual cycle. The inner lining of the uterus, a mucous membrane, has great potential for growth, inexhaustible vitality of the glands, and an aggressive ability to grow rapidly even in "foreign soil." It is not yet possible to grasp what is the main impetus, but at some point there is an unauthorized introduction of the endometrial glands into the layers between the bundles of muscle fibers. positive side endometrioid pathology is an extremely rare cancerous degeneration. The negative side is an uncontrollable desire for the growth and spread of endometrioid heterotopias throughout the body. When a woman has a period of menstruation in the formed and separated endometrioid foci - heterotopias, in full accordance with the rhythm of the cycle, as it should be during menstruation, the epithelium is desquamated and disintegrated, followed by bleeding, but only in closed cavities. There is some evidence of the leading role in this process of estrogen hormones - female hormones that prevail in the first phase of the cycle.

Treatment of the disease

If their influence in the body begins to prevail, then a woman tends to progressive growth of endometrial tissue, and the muscular layer of the uterus, as well as other hormone-dependent tissues, primarily in the mammary gland and thyroid gland. This process can only be stopped by stopping the cyclic synthesis of hormones, followed by blocking the menstrual cycle - this naturally occurs in the body during lactation and menopause. In such an environment, hormone-dependent tissues and, in particular, endometrioid lesions begin to regress steadily. However, it should be noted that - adenomyosis - internal endometriosis of the uterus, does not develop in all female representatives. Gynecologists during the monitoring of the course of the disease identified a contingent of women particularly prone to the occurrence of endometriosis. Adenomyosis occurs with greater frequency in women with a high infectious index: frequent infections, tonsillitis, tonsillitis, sinusitis, rheumatism, parotitis, chicken pox. And also in women who have had an abortion, inflammation of the genital organs, complicated childbirth, mental stress. Determining the severity of adenomyosis Frequency, duration and intensity uterine bleeding are the main criterion for assessing the severity of internal endometriosis. The consequences of bleeding for the whole organism are also taken into account:

anemia
violation of tissue trophism
deterioration in general well-being

The growth rate of the volume of the uterus, the prevalence of the process and the intensity of pain are also very important criteria for deciding on the tactics of managing and treating adenomyosis. There are two main forms of internal endometriosis of the uterus: diffuse and nodular. With a diffuse form, the uterus increases in volume evenly due to the involvement of the entire muscular tissue of the uterus in the process. With a nodular - focal form of endometriosis - in the thickness of the muscular layer of the uterus, single or multiple endometrioid foci are formed, sometimes reaching quite large sizes. With the nodular form of endometriosis of the uterus and endometriosis of the isthmus of the uterus, the leading complaints of patients are pain that does not pass even against the background of analgesics.

The use of hormonal drugs

This test is very typical for the relief of pain associated with endometrioid tissue lesions. Before prescribing treatment for women with endometriosis, gynecologists prescribe the necessary amount of examination for each specific woman in order to clarify the diagnosis and exclude a malignant process. After all the manipulations, the patient is transferred to long-term hormonal treatment. The key to efficiency is right choice hormonal drug.

Many factors influence this issue. In everyday practice, the gynecologist mainly takes into account the following points:

Woman's age

The presence or absence of concomitant somatic pathology, as well as the degree of its severity.

The presence or absence of concomitant pathology of the cervix and uterine appendages and their nature: tumors, inflammatory processes, etc.

Is there a need to restore the generative function (does the woman want to get pregnant

The state of the endometrium, the presence of hyperplasia and its severity

Indicators indicating the presence or absence of pathology from the menstrual cycle.

The presence of contraindications to hormone therapy in general - individual intolerance or to any type in particular: hirsutism, coagulopathy.

Currently, the arsenal of hormonal drugs allows for rational hormonal treatment in a wide range of patients with internal endometriosis of the uterus.

Physiotherapy

Physiotherapy for endometriosis is not an independent method of treatment. Its use is especially effective at the same time as a course of drug therapy, such a complex of effects enhances the effect of treatment and significantly prolongs the period of remission. In addition, physiotherapy can reduce the intensity of the side effects of hormonal treatment, which is carried out with endometriosis.

Human tissues and cells have a high magnetic permeability, which makes it possible magnetic field to penetrate almost any depth required for treatment. This method of physiotherapy does not affect the thermal method and does not stimulate the synthesis of estrogen. Medicinal properties magnetotherapy causes anti-inflammatory and anti-edematous effects, relieves spasms and pain, normalizes blood flow and stimulates the nutrition of tissues and blood vessels.

Magnetotherapy

Magnetotherapy is successfully carried out in the early postoperative period to accelerate the recovery processes of the body.

Applying, depending on the individual characteristics of the organism, oral contraceptives, progesterones and androgens, combining them if necessary, gynecologists manage to obtain a good and stable clinical effect in most cases. The diet of patients with endometriosis is determined in accordance with concomitant somatic pathology, especially the gastrointestinal tract. In any case, gynecologists strongly recommend long-term intake of vegetable and fruit juices, carrot, plum, beet, and in the presence of fibroids, against the background of advanced level estrogen hormones, with concomitant increased secretion of the stomach - potato juice.

According to the observations of doctors, the regulation of the function of the gastrointestinal tract is an important component of the success of conservative therapy in this contingent of women.

What are the contraindications for endometriosis? As many people know, endometriosis is a gynecological disease, which is expressed by excessive growth of the endometrium (the inner lining of the uterus). Due to the fact that the disease to date has not yet been thoroughly studied, experts have not established special contraindications for such a diagnosis.

Therefore, it is recommended to adhere to the following restrictions, which are not allowed for various inflammations in the body. With all this, you should know that a lot of things depend on the patient herself. For example, if a patient finds that abdominal pain is felt during light exercise, this should be the first call to go to the hospital. It is also necessary to be alert if, during a light meal, a woman feels a dull pain in the abdomen. In this case, it is imperative to keep a diary and write in it all your actions regarding nutrition and subsequent symptoms. According to the observations received, the doctor will be able to more correctly and quickly establish the diagnosis.

What are the signs of endometriosis?

It should be noted that the symptoms of this disease are directly related to menstrual cycle. Most often, pain is observed during menstruation and disappears after the end of the cycle. If the disease is already in an advanced stage, the pain may be chronic.

Clinical signs

Here are the most common clinical manifestations of endometriosis:

Bloody discharge during and after the cycle. This symptom is usually characteristic of endometriosis in the uterus.
Constant pain during sexual contact.
Unpleasant and even painful sensations during bowel movements.
Presence of blood in the stool.
Severe pain during ovulation.
Severe blood loss, anemia.
Frequent headaches, bad mood, insomnia, nervousness.
Sometimes a woman can hear a terrible diagnosis - infertility, which, as a rule, appears due to an advanced stage of the disease.

On what basis is the patient diagnosed?

Diagnosis requires:

Anamnesis;
Complaint of the woman herself;
Any clinical manifestations;
Colposcopy;
Screening;
Ultrasound of the pelvis.

Contraindications for inflammatory processes of the uterus

Although hormone therapy is one of the most powerful treatments available today, it should not be used for endometriosis. This is due to the fact that specialists have identified many cases of allergic reactions among patients. It is also not recommended to use medications with certain chronic ailments (diabetes, digestive problems, diseases of the cardiovascular system, disorders in the area genitourinary system). Surgery is an alternative for advanced stages and drug intolerance.

Rules to be followed if some kind of chronic inflammation has been identified:

You can not carry out therapy with hormonal drugs.
Do not eat foods containing GMOs. During treatment, you need to consume only the “right” food, rich in all kinds of vitamins.
You should not go to the pool at least during the treatment period, as chlorinated water can adversely affect the microflora of the vagina and uterus.
You can not take hot baths and saunas, in other words, you should not overheat the pelvic area.

With endometriosis, it is extremely dangerous to take mud baths, the use of heat in the lower body area, herbal treatment is allowed after consulting the attending physician.

These are not all the contraindications that you should pay attention to, more recently, scientists in the field of medicine have found that a solarium and direct Sun rays detrimental effect on the diseased organism.

Treatment of inflammatory processes of the uterus

There are several methods to eliminate this pathology.

Low frequency current pulses

Not many people know that pulsed current has a sedative and analgesic effect. For example, electrophoresis using iodine allows you to enter it in a small dosage. In this case, this substance can be in the skin for up to three weeks, and then gradually enters the plasma. With the correct use of this method, iodine after a while should accumulate in the pelvic area, which is of great importance in chronic types of the disease. Iodine itself stimulates the entire regeneration process. In addition, under the influence of iodine, the hormonal background and the balance of the pituitary gland are normalized. However, you should be aware that current cannot be used if the patient has cholelithiasis.

Therapy is prescribed, as a rule, on the fifth day of menstruation against the background of COCs. The period of such exposure to the body is more than four months.

An excellent way to fight against inflammatory processes of the uterus. It also has an analgesic, anti-inflammatory, stimulating effect. Magnetotherapy is aimed at eliminating swelling of tissues and pain, the highest magnetic permeability ensures the passage of magnetic fields to any depth of tissues, which is quite important for complex surgical interventions. Magnetotherapy normalizes the functioning of the central nervous system and improves blood circulation.

This technique is often used during the postoperative period.

As a rule, it first causes a spasm of capillaries (short-term), and then expands the capillaries of the veins and speeds up the process of wound healing. Also, laser therapy has an anti-inflammatory and bactericidal effect, reduces swelling of tissues, activates metabolism in the area of the focus of the inflammatory process. If combined with laser and Magnetotherapy at the same time, the therapeutic effect is much better. But doctors recommend using this method only after the early postoperative period.

There are practically no contraindications for such treatment; before use, the doctor, as a rule, conducts various studies to identify side effects.

In the common people, this is taking iodine-bromine baths, while the doctor can use vaginal microclysters with radon water simultaneously with this technique. The clinical effect of such baths is pain relief, inhibition of inflammatory processes, and normalization of hemodynamics in the pelvic area. This treatment, according to many doctors, is the most effective, and the course of therapy is approximately 4 months. In addition, iodine-bromine waters have practically no side effects, there are no contraindications, they are used even with hyperestrogenism.