There is a classification that dates from the late 1950s. It takes into account the severity of endometriosis, considering its depth and its location. It poses a particular problem with regard to the ovaries: in this case, endometriosis is considered more serious than for other localizations.
This classification is relatively outdated since it does not take into account the patient's pain, endometriosis or not visible to the naked eye, is composed of 4 degrees, ranging from 0 to 40. It needs a serious refresh is the reason why experts do not use it.
The endometriomas, also called endometrioid, solenomes, adenomyome uterus, endometriosis is a variety of well-defined nodular nature may be included within the myometrium (muscle of the uterus) or spill inside the cavity of the uterus. It is a benign tumor that occurs most often in the genital tract of the woman who is not menopausal, which is composed of normal tissue (group of normal cells) but unusual because of its location at of the mucosa (layer of cells covering the interior of hollow organs in contact with air) of the uterus.There are several types of solenomes:
* The cystic solenomes.
* The fibrosolenomes.
* The myosolenomes.
All of these nodules sustains like endometriosis, cyclic changes in direct relation with the hormonal activity of the ovary. These swellings are likely to increase both volume and depth to the surface.
We do not know the exact origin of the endometrome. We think this is an excessive development of embryonic debris (for specialists in embryology and gynecology), Mullerian, or coelomic Wolffians. He is training normally develop in the embryo but that should no longer be present in adults.
Other theories have been advanced in particular those of the spin, by tubal (fallopian tubes), through the bloodstream, fragments of endometrium (inner layer of cells covering the inside of the uterus ).
Some experts (especially Letulle), in this particular case endométrome erratic. This rare variety of endométrome grows in the intestines and rarely in the bladder or the scars at the umbilicus.
Causes
Endometriosis is an enigmatic disease raises many questions.
The progress made in recent years does not yet allow to elucidate with certainty the origin of this evil.
Family history is a risk factor for endometriosis (a woman is more likely to suffer from endometriosis if other women of the same family have or have had endometriosis).
Brenda Eskenazi, an American from the University of California, Berkeley, has launched an epidemiological investigation to monitor the incidence of endometriosis in Italian women living near Seveso factory which exploded in 1976. According to this study, dioxin was due to endometriosis.