Prevention of endometriosis

1 2 3 4

The considerable prevalence of endometriosis and the trend of increase in the frequency of its dictate the need to develop measures for prevention of the disease and prevent its recurrence.
Since the leading role in the pathogenesis of endometriosis are offset and the implantation of the elements of the endometrium outside the uterine cavity with appropriate hormonal background and violation of immune homeostasis, preventive measures should include these circumstances.
Studies have shown O. N. Savchenko et al. (1974), in the process of formation of the ovulatory cycle in the body girls gioviano-ovarian relations develop in such a way that they promote the integration and functioning of the elements of the endometrium in a new place, i.e. the development of endometriosis. In girls, and the girls are offset and the implantation of the pieces of the endometrium may occur as the result of retrograde throwing menstrual blood on the fallopian tubes. And this is facilitated gymnastics, figure skating, acrobatics, exercise in the sports equipment (parallel bars, horizontal bar and so on) and other types of physical activity during the month. Apparently, these factors can explain the occurrence of endometriosis in young patients. Literature data and our observations show the increasing frequency of endometriosis at a young age. Therefore, from our point of view, a certain importance mode physical activity in girls during menstruation days since menarche and in subsequent years. In the days of the month should be limited to the physical exercises and lessons sportthat could contribute retrograde flow of menstrual blood in the peritoneal space.
The importance of this factor increases in families, "troubled by endometriosis", as in the formation neuroendo-krinō background the influence of constitutionally-hereditary factor. Great value hereditary factors in the pathogenesis of endometriosis give Century Ranney (1971), J. Bullok et al. (1974). They strongly recommend to ascertain the presence of endometriosis in mothers, sisters, grandmothers and aunts along the maternal line.
Under other equal conditions for girls from disadvantaged family history (when a mother, grandmother and aunt maternal had endometriosis or uterine fibromyoma) increased the chance of developing endometriosis.
With the development of algodismenorea at a young age, you can apply and progestins during menstruation - spasmolytic (baralgin, spazmalgon, baralgin and others) But hormones should be used under the strict control of data colpocytology research, basal body temperature, and if possible content of estrogen, pregnandiol, FSH, LH. The number of young patients can be applied, progestin-estrogenic drugs, but also under strict control.
Century Ranney (1975) recommends that all girls in families with endometriosis will receive oral progestins, beginning with the first year of the establishment of the cycle and up to the moment when it will be desirable conception. We can not agree with such recommendation indiscriminate destination progestins. At such statement of question is the patient have to get hormonal treatments for 5-7-10 years or more, which is not indifferent for young organism.
More appropriate indications for hormonal drugs to patients of young age to be set individually. The same applies to the regime of physical activity during the month. The mother of such patients should be informed about the need for accurate execution of these recommendations.