子宫内膜异位症的 5 个先兆体征丨医学英语视听学习

5 Warning Signs of Endometriosis

子宫内膜异位症的 5 个先兆体征

Period pain should not be debilitating, period. If someone tells you that your really bad cramps are normal, don't believe them. You could have endometriosis.

经期疼痛不应该令人疲于应对。如果有人告诉你，严重痛经很正常，不要相信他/她们！你可能患上了子宫内膜异位症。

Endometriosis happens when tissue similar to the lining of your uterus goes rogue and grows in places it doesn't belong, like on your ovaries, fallopian tubes or intestine.

当子宫内膜相似组织异常生长在它本不应出现的部位，如卵巢、输卵管或肠道时，就会发生子宫内膜异位。

And because so many people just live with the pain, it takes an average of six to 10 years for a person suffering from endometriosis to actually be diagnosed with the condition. That's a long time to wait for an explanation.

因为许多人只出现疼痛，所以子宫内膜异位症患者平均需要 6-10 年才被确诊患病。明确诊断是一个漫长的过程！

Here are five warning signs or red flags that tell you something definitely not normal is going on.

以下是提示发生异常的 5 个先兆体征或警示征象：

Number one, intense period pain. Really bad cramps are classic symptom of endometriosis.

第一、经期剧烈疼痛。严重痛经是子宫内膜异位症的一个典型症状。

We're talking pain that makes you miss school or work, or pain that doesn't go away with birth control pills or anti-inflammatory medications like ibuprofen.

我们所提到的疼痛是指严重到不能上学或工作，或者服用避孕药或布洛芬等抗炎药后仍未能缓解的疼痛。

Not all people with endometriosis have this much pain with their periods, and not all people with bad cramps have endometriosis. But really bad pain anytime is certainly something you should talk to your healthcare provider about.

并非所有子宫内膜异位症患者在经期都会出现严重的疼痛，出现严重痛经的人也并非全都患有子宫内膜异位症。但是，任意时间出现严重疼痛都需要咨询医务人员！

Number two, chronic pelvic pain.

第二、慢性盆腔疼痛。

If you have severe pain in your pelvis all the time, not just when you have your period, you may be experiencing the effects of inflammation and scarring caused by endometriosis that has been left untreated.

如果盆腔一直剧烈疼痛，不仅仅是在经期，那么可能是子宫内膜异位症久未得到治疗而引起的炎症和疤痕产生的影响。

The longer this cycle continues without treatment, the higher likelihood your pelvic floor muscles and nerves may also be negatively impacted.

如果不治疗，这个周期持续的时间越长，盆底肌和神经越可能受到负面的影响。

Number three, painful sex.

第三、性交疼痛。

If having sex hurts, that could be a sign of endometriosis. Penetration can pull and stretch endometrial tissue that has grown behind the vagina or lower uterus.

如果性交疼痛，那么可能是子宫内膜异位症的征兆。阴道刺穿能够拉伸生长在阴道后或子宫下部的子宫内膜组织。

Endometriosis can also lead to pelvic floor spasm, which can worsen with vaginal penetration.

子宫内膜异位症也会导致盆底痉挛，阴道插入会加重盆底痉挛。

Some people experience only a mild discomfort, while others experience a deeper, more intense ache during or after sex. Basically, if the pain outweighs the pleasure, something isn't right.

有些人只感到轻微的不适，而另一些人在性行为期间或之后出现更严重、更剧烈的疼痛。总之，如果疼痛超过了愉悦，那么就是不正常的。

Number four, stomach problems.

第四、腹部不适。

When endometriosis attaches to your bowel or causes kinking of your bowel from adhesions, it can wreak havoc with your digestive system, causing nausea, constipation or diarrhea. It can also make you severely bloated, especially when that time of the month rolls around.

当子宫内膜异位发生在肠道，或导致肠粘连扭结时，它会对消化系统造成严重损害，引起恶心、便秘或腹泻。它也会导致患者严重腹胀，特别是当女性生理期按时到临时。

Number five, trouble getting pregnant.

第五、怀孕困难。

If you've been trying to get pregnant but aren't having any luck, endometriosis might be the culprit. And you're not alone. Up to 50% of women who experience infertility have endometriosis.

如果你曾尝试怀孕，但都未能成功，那么根本原因可能是子宫内膜异位症。这类患者很多。高达 50% 的不孕症女性患有子宫内膜异位症。

Endometriosis causes inflammation and scarring in your pelvis. The scarring can also cause kinks in your fallopian tubes.

子宫内膜异位症会导致盆腔炎症和疤痕形成。瘢痕形成也会导致输卵管扭曲。

This inflammation, scarring and kinking make it much harder for the sperm and egg to meet up, or for an embryo to implant in your uterus.

这些炎症、疤痕形成和扭曲都会阻碍精子与卵子“相遇”，或使胚胎难以植入子宫。

Endometriosis is a frustrating condition. Many people have symptoms, but some don't. Some people have mild pain. For others, the pain is unbearable. And for so many people, the road to diagnosis is an unnecessarily long one.

子宫内膜异位症是一种令人沮丧的疾病。许多人有症状，但有些人没有症状。有些人出现轻微疼痛，另一些人又疼痛难忍。对于很多人而言，诊断之路徒劳且漫长！

If you're experiencing any red flags at all, it's important to see your healthcare provider right away. And remember, bad period pain isn't normal.

如果你出现任何警示征象，请立即就医！这非常重要！请记住，严重痛经并不是一种正常现象！

Having regular appointments with your healthcare provider is key to staying on top of any potential problems or concerns.

定期就医是了解潜在问题或重要信息的关键！