Women's he alth is not just caring for the figure, skin and hair, but also for the internal organs, including the genitals. Sometimes a gynecologist discovers a gravid endometrium. So, if the fair sex does not have pain or discomfort, this is not a guarantee of good he alth.
What is the endometrium
This is the mucous membrane that is inside the reproductive organ. The uterus is a complex mechanism in which changes are constantly taking place. It may be related:
- with pregnancy;
- changing the cycle;
- abortion.
The body requires close attention, good control and support for functioning at the proper level. This is due to the fact that the tissues are fully dependent on the hormonal background.
The uterine layer has several types, each of which has its own characteristics, depending on the degree of hormonal changes. Often notice gravid endometrium.
The doctor will explain what it is, why it appeared, is it dangerousan established diagnosis, whether it is worth resorting to treatment and which methods will be more effective.
Definition
The functional layer formed at the early stages of conception, lined on the reproductive organ, can be detected during an ultrasound examination. This coating is the endometrium of the gravid type. It is sometimes seen in women who are not planning a pregnancy.
This process of transformation into stromal cell constructs is called decidualization. Therefore, this type of uterine covering is called decidual tissue.
The process of change takes place over the entire covering of the organ, not just partially. At the same time, some changes are noted in the appendages themselves.
Reasons
Gravidal reaction of the endometrium are hormonal changes and changes in the body. There is a change in the uterine layer when successful fertilization has taken place. The endometrium becomes lusher and looser so that the fertilized egg is more comfortable. Therefore, it is considered appropriate and harmless.
You can also say if there was a spontaneous loss of the baby. As soon as the level of hormones is restored, the endometrium returns to its previous state.
Danger
If a woman is not pregnant, and the doctor notices fragments of the gravid endometrium, then this is fraught with strong hormonal surges, leading to poor results - there will be problems with conception and even infertility. On this kind of endometrium, the fetal egg is poorly attached. It is desirable to treat such a condition, and the sooner -so much the better.
Views
The disease can show itself in two different directions, it all depends on the reasons that provoked its occurrence. What kind of failures caused the pathology indicates that completely different treatment is prescribed. Efficiency depends on the degree of neglect of the disease.
The corpus luteum and its pathology
Often this type of disease is diagnosed in patients. A problem develops in connection with hormonal disorders, and is determined in case of detection of persistence of the corpus luteum. The corpus luteum produces progesterone, but with such a pathology, the hormone becomes much less. If this period continues for a long time, the development of the disease will not be long in coming.
It appears like this:
- menstrual bleeding becomes longer;
- gravid endometrium is poorly rejected and is reluctant to renew itself, since most of it is prone to reverse development;
- the size of the uterus increases.
If treatment is not started in time, the process is fraught with necrosis of the tissues of the appendages, subject to pathological transformations. The reasons lie in the methodical decrease in the work of one or two ovaries. Usually, the he alth of a woman before menopause and in menopause is distinguished by this condition.
In women of reproductive age, the appearance of such a problem may be associated with other pathologies:
- cancer;
- from the endocrine system;
- inflammatoryprocesses in the ovaries and other ailments.
At the first calls, you should not hesitate, but turn to a specialist for help - the sooner she arrives, the more chances for a speedy recovery.
Missed pregnancy
Another source of reverse gravidar endometrial development is a failed pregnancy. The process does not develop immediately, but after a few weeks. There are alarming symptoms, and when you go to the doctor, a similar ailment is diagnosed. Such changes can manifest themselves under the following circumstances:
- there was a spontaneous rejection of the child at a short time, but not everything came out with blood;
- with mechanical abortion - poorly cleaned and removed the fetal egg;
- drug-assisted miscarriage that didn't go as well as planned;
- fatal outcome of the baby in the first half of the first trimester.
Pathology of the gravid endometrium can manifest itself both in uterine and ectopic abortions. The process of disease formation is carried out as follows:
- changes occur in the structure of the endometrium - it ceases to be decidual;
- mucosa does not update and goes dormant;
- endometrial proliferation is forming.
It will be possible to establish such a tissue deformation only after examining the scraping from the cavity of the genital organ. At this time, the remaining tissues of the dead fetus begin to decompose,harming a woman's body.
Diagnostic Methods
The normal reaction of the gravid endometrium to the fixation of a fertilized egg (also called a zygote) is decidualization. If conception did not occur, and pregnancy did not occur, then the gravid layer of the lining of the reproductive organ at the end of the menstrual cycle begins to actively exfoliate.
After the final completion of menstruation, the uterus is cleared of unnecessary secretions, the tissue begins to grow again. This process is completely normal and repeats every month.
The ability to diagnose the regression of the endometrium exists only after having taken a scraping from the uterus for histology and studied it.
Scraping is taken at a gynecologist's appointment - in the office. The procedure is not very pleasant, but not painful:
- performed with a curette or loop;
- the instrument is inserted through the cervical canal into the cervix;
- a small area of tissue is taken in such a way that the mucous membrane is almost not damaged;
- received material is sent to the laboratory.
When professionally performed, such a procedure is completed without negative consequences for the woman.
During histological studies, the picture of the endometrium on a glass slide appears ambiguous. Parts of the gravidar endometrium of reverse development can be located next to the site with the properties of secretory development and much more. If statewas formed due to an interrupted pregnancy, that is, it is likely to notice a fetal egg or its elements.
Usually a scraping is done after a miscarriage - this allows, in some cases, to establish the cause of the problem.
Therapy
If gravid endometrium is detected during pregnancy, then this is normal and no treatment is needed. Everything goes away on its own, as soon as the woman's hormone balance returns to normal.
But in case of spontaneous rejection by the uterus of a child or during an abortion, a woman will need to do an ultrasound examination in a month. Thanks to him, it will become clear what condition the lining of the reproductive organ is in.
For severe bleeding during this period, the doctor prescribes some medications belonging to the group of hemostatic agents, the main function of which is to accelerate blood clotting:
- "Vikasol".
- "Etamzilat".
- "Oxytocin".
- "Ergometrine".
If such treatment did not give the desired results, and the endometrium does not return to a satisfactory condition, then hormonal therapy is prescribed. They will help restore the level of substances. The treatment regimen for correcting the balance of hormones is used only as prescribed by the doctor, strictly observing the dosage and the recommended time of use. Doctor considers:
- ultrasound results;
- histology results;
- causes of failure.
Schemes of such treatment are followed if a woman's pregnancy has terminated. They begin to provide medical assistance with the fact that, without fail, the zygote or its remains are removed from the uterus. Thus, hormonal activity is suppressed, and the body begins to recover.
Tissue decidualization is a natural process in case of successful egg fertilization. This phenomenon helps to establish conception at a very early date. If such changes occur in the body of non-pregnant patients, then treatment should begin immediately.
