醫+Check經痛子宮內膜異位檢查計劃

妳有冇試過經痛到:
以上都屬不正常的情況,
可能關子宮內膜異位1

子宮內膜異位是指子宮內膜細胞,生長在子宮
以外的地方,如盆腔及輸卵管2-3
這些細胞會黏附在盆腔內的器官或組織,可引起
發炎,導致經痛、月經不規律、排卵受阻、難孕、不育等問題5

朱古力瘤亦屬子宮內膜異位,是指內膜細胞
出現於卵巢,形成腫囊(內含棕色血液);一旦
破裂,液體流進體腔,導致劇痛5-6

 常見症狀3-4
  • 腹痛         
  • 經痛、盆腔
    或下背痛
  • 經前或經後
    疼痛
  • 性交時或性交後
    疼痛
 症狀還有1,4......
  • 疲倦         
  • 經期不規律/
    經血過多
  • 經期期間
    排便困難
  • 不育

參考資料

  1. ESHRE. Guideline on Endometriosis 2013. Available at https://www.eshre.eu/Guidelines-and-Legal/Guidelines/Endometriosis-guideline.aspx (Assessed on 10th Jan 2018)
  2. Farquhar C. Endometriosis. BMJ. 2007 Feb 3;334(7587);249-53.
  3. PubMed Health. Endometriosis: Overview. Oct 19, 2017. Available at: https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0072685/ (Assessed on 2nd Feb 2018)
  4. U.S. Department of Health and Human Services. Endometriosis. Available at: https://www1.nichd.nih.gov/publications/pubs/Documents/endometriosis-2002.pdf (Assesses on 2nd Feb 2018)
  5. ASRM. Endometriosis. A guide for patient revised for 2012.
  6. NHS. Ovarian cyst. http://nhs.uk/conditions/ovarian-cyst/Pages/Introduction.aspx (Accessed on 19th Jan 2017)
  7. The Hospital Authority.子宮內膜異位. Available at: http://www.ha.org.hk/haho/ho/hesd/101575c.htm (Assessed on 6th Feb 2018)
  8. Eskenazi B and Warner ML. Epidemiology of endometriosis. Obstet Gynecol Clin NorthAm. 1997; 24: 235-258.
  9. Ozkan S, Murk W, Arici A. Ann N Y Acad Sci. Endometriosis and infertility: epidemiology and evidence-based treatments. 2008: 1127: 92
  10. Hong Kong Hospital Authority Booklet on “子宮內膜異位”. Available at: http://www.ha.org.hk/haho/ho/hesd/101575c.htm (Assessed on 28th Dec 2016)
  11. Schindler AE. Dienogest in long-term treatment of endometriosis. International Journal of Women’s Health 2011:3 175–184
  12. Practice Committee of the American Society for Reproductive Medicine, Treatment of pelvic pain associated with endometriosis: a committee opinion. Fertil Steril. 2014 Apr; 101(4): 927-35.
  13. Endometriosis Research Center & Women’s Hospital, Inc. Endometriosis Screening & Education Kit Empowering Materials for Understanding and Living Well in Spite of Endometriosis (Developed in Collaboration With The United States Department of Health & Human Services Office on Women’s Health). Updated Edition 2012(Copyright Endometriosis Research Center & Women’s Hospital, Inc. 1997-2012. All Rights Reserved. Version Spring 2012)
  14. Ultrasound scan. Available at: https://www.nhs.uk/conditions/ultrasound-scan/ (Assessed on 10th Jan 2018)
  15. Healthline. What Is a Transvaginal Ultrasound? Available at: https://www.healthline.com/health/transvaginal-ultrasound (Assessed on 10th Jan 2018)

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