Patophysiology of the Endometriosis
Obstructive malformations:
Menstrual reflux is very common in women.
The functional abnormalities that may lead to menstrual reflux correspond either to a decrease in the “resistance” tubal in its intramural portion, or an increased compressibility of the myometrium.
In fact, the most important causes are obstructive anomalies of the genital tract, where it has been shown to increase the risk of endometriosis. Uterine and vaginal anomalies promoting menstrual reflux are associated with a greater frequency of pelvic endometriosis and are responsible for cases of endometriosis occurring in adolescent girls, sometimes younger, for example if hematocolpos.
Experimentally, the diameter of the cervical canal is the most important quantity that determines the percentage of liquid escaping through an artificial fallopian tube. This disease was surgically visualized and documented in 24 of 25 women complaining of chronic pelvic pain and stenosis of the external os.
Obstructive Mullerian anomalies only promote endometriosis.
A study of 64 women with Mullerian anomalies undergoing intervention and assessed the frequency of endometriosis, endometriosis was found in 10 of 13 women with endometrial functional tubal permeability and an obstacle to the flow rules but only in 16 of the 43 women, with non-obstructive abnormality (77 versus 37%, p> 0.01).
In a series of 748 infertile women who underwent laparoscopy, the incidence of endometriosis was assessed by presence of a non-obstructive Mullerian anomaly (N = 198) or not (N = 545) and no difference in frequency of endometriosis was observed between the two groups.
In addition, the mechanism of occurrence of endometriosis in cases of obstructive anomaly can be very different from that associated with infertility, we observed spontaneous regression unу, almost complete, very extensive superficial endometriosis after correction of a hematocolpos.
Finally, we must remember that some tubal reconstructive surgery, such as uterine ampullo implantations were associated with increased menstrual reflux. Some cases have also been reported after distal tubal surgery.
Do not forget about the insidious this disease. Many people are unaware of what the consequences for life might arise in consequence of the disease. Imperative for this disease is a medical treatment as a disease and its symptoms are. Pain and spasms occur in humans also need to facilitate. For this purpose, can be used antispazm drugs, such as Soma. Every person can buy Soma by doctor’s consultation in big variety of pharmacies. Follow all rules and regulations for the use of any medication.