What changes occur in general and basal temperature during endometriosis? Temperature with endometriosis: what to do? Is there a fever with endometriosis?

Endometriosis of the uterus: what it is, why it is dangerous, symptoms, signs and treatment in accessible language

Endometriosis can cause painful periods, persistent pelvic pain, infertility and other symptoms. Symptoms of endometriosis can range from mild to severe.

Treatment options mainly include painkillers, hormonal treatments, and surgery.

It is worth explaining what it is in an accessible language and why it is dangerous, how the pathology develops, what methods have been developed for its detection and treatment is acceptable in various clinical situations.

What is endometriosis?

The endometrium is the tissue lining the inner mucous membrane of the uterine body (mucosal layer).

Uterine endometriosis is a condition in which endometrial tissue is found outside the uterus. It is "trapped" in the pelvis and lower abdomen, and, less commonly, in other areas of the body.

Endometriosis is a hormonally dependent pathological condition, accompanied by the growth of the glandular lining of the uterus in the fallopian tubes, ovaries, bladder, in the thickness of the uterus, on the peritoneum, in the intestines and on some other organs (see photo above).

Endometriosis is a common gynecological pathology, ranking third in frequency of occurrence after inflammation and uterine fibroids. Most often, uterine endometriosis is detected in women of reproductive age - from 25 to 40 years. Also, pathology can manifest itself in girls during the formation of menstrual function and in women. It should be borne in mind that difficulties in identifying pathology and the asymptomatic course of the disease allow us to conclude that the endometrioid process is more common.

Causes of endometriosis development

In medicine, there is not yet a unified theory about the causes of the development of endometriosis. There are several causes, the most common of which is retrograde menstruation (meaning the flow of menstrual blood back). She explains the origin of endometriosis by the involvement of endometrial particles with menstrual blood in the fallopian tubes and abdominal cavity during retrograde menstruation.

When a number of conditions are combined, endometrioid cells attach to various organs and resume their ability to function cyclically. During menstruation, the presence of endometrium, localized on uncharacteristic organs, provokes microbleeding and inflammation.

Thus, those women who have retrograde menstruation may develop endometriosis, but not in all situations. The likelihood of developing pathology increases due to the following features:

• hereditary predisposition;
• disturbances in the functioning of the immune system;
• surgical interventions;
• environmental factors (properties of the environment that affect your body).

Progression of endometriosis is also possible with surgical interventions on the uterus. For this reason, after any surgery, it is important to be observed by a doctor for timely diagnosis of possible pathologies.

There are also a number of other theories about the causes of endometriosis, which include:

• theory of gene mutations;
• deviations in the interaction of receptor molecules with hormones;
• dysfunction of cellular enzymes;
• embryonic theory.

Risk factors for developing endometriosis

There are several main groups of women predisposed to the progression of endometriosis:

• women with shortening;
• women with metabolic disorders (obesity);
• using intrauterine contraceptives;
• age over 30-35 years;
• women with pathologically high levels of estrogen;
• women with pathologies that suppress the immune system;
• have undergone surgery on the uterus;
• smoking women.

Classification and degree of development of endometriosis

The exact answer to the question “what is uterine endometriosis” is determined by the localization and prevalence of the pathological process. For this reason, a classification of pathology has been developed according to location.

There are two main groups of the disease – extragenital and genital.

In the case of the genital form of pathology, areas of heterotopia are located on the genital organs, and in the case of extragenital pathology, they are located outside the reproductive organs. The genital form of the disease is divided into several conditions:

• peritoneal form of endometriosis – involvement of the pelvic peritoneum, ovaries and fallopian tubes in the pathological process;
• extraperitoneal form of endometriosis - foci of ectopia are localized in the lower part of the woman’s reproductive system (cervix, vagina, external genitalia);
• The internal form of endometriosis (uterine endometriosis or adenomyosis) can develop in the myometrium.

In the absence of proper treatment, the pathological process is mixed.

In the case of extragenital localization, the foci of the endometrium include the intestines, lungs, kidneys, and postoperative scars.

Based on the prevalence and depth of the pathological focus, there are 4 main degrees of development of endometriosis:

• First: single foci are localized on the surface.
• Second: a larger number of deep foci.
• Third: multiple deep foci, the presence of endometrioid, .
• Fourth: a large number of deep foci of pathology, large endometrioid cysts, severe adhesions, the endometrium grows into the thickness of the rectum and vagina.

In addition, the following degrees of internal endometriosis are distinguished according to the degree of involvement of the muscular layer of the uterus in the pathological process:

• First: the beginning of myometrial damage.
• Second: foci of pathology grow into half the myometrial layer.
• Third: damage to the entire thickness of the muscle layer of the organ.
• Fourth: damage to the walls of the organ, spread of the pathological process to the peritoneal tissue.

Endometriotic lesions differ from each other in shape and size: they can be small, round or shapeless and spread up to several centimeters in diameter.

Most often, they are characterized by a dark cherry color and delimitation from adjacent tissues by whitish scars. As a result of cyclical maturation, endometrioid lesions are more visible immediately before the onset of menstruation.

Clinical symptoms of endometriosis

The clinical picture of the condition can be varied, depending on the location of the pathological process and its severity. Timely detection of the disease is possible with regular visits to the gynecologist for a preventive examination.

There is a spectrum of symptoms that characterize the progression of endometriosis:

• Pain in the pelvic area. The pain syndrome can be both diffuse and localized. The pain may be constant or worsen during menstruation. Soreness is most often triggered by the inflammatory process that accompanies endometriosis.
• Dysmenorrhea. Menstrual irregularities.
• Dyspareunia, or painful sexual intercourse.
• Pain during urination and defecation.
• Menorrhagia is an increase in the volume and duration of menstrual bleeding.
• Posthemorrhagic. The condition is caused by the chronic nature of blood loss. It manifests itself in the form of increasing weakness, jaundice or pallor of the skin, fatigue, drowsiness, and dizziness.
• Infertility. Develops in 25-40% of patients with endometriosis. In this case, we are talking about a low probability of pregnancy, and not about its complete impossibility.

Possible complications of endometriosis

Due to hemorrhages and scar formation in endometriosis, adhesions are provoked in the abdominal organs and pelvis. Quite often, as a result of pathology, cysts are formed on the ovaries, which are filled with menstrual blood. Both adhesions and endometrioid cysts can cause infertility.

Also, with endometriosis, compression of the nerve trunks can be observed, which leads to the development of neurological symptoms. Due to significant blood loss, manifestations such as:

• anemization;
• irritability;
• constant weakness.

Foci of endometriosis in some cases undergo malignancy (malignancy).

Diagnosis of uterine endometriosis

When identifying endometriosis, it is important to exclude other gynecological pathologies that occur with similar symptoms. Diagnostic search includes the following activities:

• Anamnesis collection. It is important to take into account not only the patient’s clinical symptoms and complaints, but also family history, that is, cases of pathology among family members. It is also necessary to clarify whether gynecological operations were performed.
• Gynecological examination. Can be vaginal, rectovaginal, or in speculum. The most informative is to carry it out a few days before the start of menstruation.
• Colposcopy and hysterosalpingoscopy. They are carried out to clarify the location and parameters of the lesion, as well as to obtain a biopsy sample.
• Ultrasonography. It is necessary to clarify the location of foci of pathology and the dynamics of the condition during therapy.
• Spiral computed tomography or magnetic resonance imaging. These methods make it possible to clarify the nature and localization of endometriotic lesions.
• Laparoscopy. The method allows you to visually assess the number, maturity, and activity of endometriotic lesions.
• Hysterosalpingography is an examination of the uterus and fallopian tubes using x-rays.
• Hysteroscopy is an endoscopic examination of the uterus to identify.
• Laboratory tests: identifying tumor markers CEA, CA-125, CA 19-9 and performing a RO test. These indicators increase significantly in the case of endometriosis. Laboratory diagnostics are also carried out to detect anemia in patients with endometriosis.

Some diagnostic techniques are worth considering in more detail.

Hysterosalpingography

This technique is important for identifying internal endometriosis (adenomyosis or endometriosis of the uterus). The study is carried out with a water-soluble contrast agent on days 5, 6 or 7 of the cycle. The presence of contour shadows is noted on the x-ray.

Tomography

Computed tomography can provide information about the boundaries of the pathological process. Magnetic resonance imaging is more informative for endometriosis.

Ultrasonography

This technique allows you to characterize the pathology according to clear criteria. Endometrioid origin is characterized by the presence of a dense capsule and hyperechoic contents.

In the case of adenomyosis, examination can reveal areas with increased echogenicity, unevenness and jaggedness of the border areas of the endometrium and myometrium, and round inclusions about 5 mm in diameter. Nodular variants of adenomyosis are accompanied by the formation of cavities with fluid with a diameter of about 30 mm.

Hysteroscopy

This technique makes it possible to accurately identify endometriotic ducts and the roughness of the relief of the uterine walls in the form of crypts or ridges. In 1997 V.G. Breusenko and co-authors developed a hysteroscopic classification of the prevalence of the endometrioid process:

• The first stage: unchanged relief of the walls of the uterus, endometriotic ducts in the form of “eyes” of a blue hue or bleeding foci are detected. The uterine wall is characterized by unchanged density.
• Second stage: uneven relief of the uterine wall in the form of ridges or disintegrated muscle tissue. Endometriotic ducts are identified. The uterine cavity does not stretch well. The wall has a higher density.
• Third stage: the inner surface of the uterus includes many protrusions of varying sizes that do not have clear boundaries. Sometimes endometriotic tracts are noted on the upper part of the bulges. The uterine wall is very dense.

Differential diagnosis

Differential diagnosis is necessary to distinguish between endometrioid cysts and ovarian tumors. The final diagnosis is made based on medical history and ultrasound examination. With ovarian endometriosis, there may be no pain, but with an oncological process, non-localized pain may appear.

In cancer and endometriosis, there is an increase in the level of CA-125. Therefore, an increase in the concentration of this substance does not confirm only one diagnosis. In some cases, a definitive diagnosis is only possible during laparoscopic surgery.

In the case of rectovaginal localization of endometrioid lesions, a differential diagnosis with metastases of chorionic carcinoma is required. To make a final diagnosis in this case, a correct medical history and a study of the hCG concentration are required (in this case, signs of pregnancy are also determined).

The tubo-ovarian inflammatory process in the form of an abscess is difficult to diagnose due to the erased clinical inflammation (for example, chlamydial etiology) and the difficulty of distinguishing the process from a benign tumor or cyst of endometrioid origin.

If the formations on the ovary do not regress within two months, surgery is prescribed. Often the final diagnosis is made after surgery and examination of the biopsy specimen.

Also, in the case of endometriosis, differential diagnosis with endometrial hyperplastic process may be required. With the retrovaginal nature of the lesion and endometriosis of the ligamentous apparatus of the uterus, it is imperative to exclude malignant neoplasms in the organs of the digestive system.

Treatment of uterine endometriosis

The tactics of therapeutic correction are determined by the following parameters:

• age;
• number of pregnancies;
• number of births;
• prevalence of the pathological process;
• location of lesions;
• clinic intensity;
• accompanying illnesses.

There are the following treatment methods for endometriosis:

• Medication.
• Surgical – laparoscopy with elimination of endometrioid lesions or radical removal of the uterus and ovaries.
• Combined.

The goals of therapeutic correction of endometriosis are not only to eliminate symptoms, but also to prevent unfavorable processes in the form of adhesions, cysts and other pathologies.

Non-surgical treatment of uterine endometriosis with drugs

Conservative treatment (non-surgical) of the disease is carried out if endometriosis is asymptomatic, the patient is young or premenopausal, and there is a need to preserve reproductive functions.

The basis of conservative treatment is hormonal therapy with the following groups of medications:

• Combined estrogen-progestin drugs. These include Nonovlon, Silest, Marvelon. These medications contain small doses of gestagens and suppress estrogen synthesis and the ovulatory process. They are prescribed in the initial stages of endometriosis, since combination drugs do not have an effect in the case of widespread endometriosis or the presence of cysts. Possible side effects if used: nausea and vomiting, pain in the mammary glands, spotting during the intermenstrual period.
• Gestagens. These include Duphaston, Nemestran, Utrozhestan, Norkoput. Prescription is possible at all stages of the endometrioid process. Treatment with these drugs is carried out over a period of six months to 8 months. Possible side effects: intermenstrual bleeding, depression, pain in the mammary glands.
• Antigonadotropic drugs. These include Danol, Danogen, Danazol. The mechanism of action is to suppress the synthesis of gonadotropic hormones in the hypothalamic-pituitary system. A continuous course lasting from six months to 8 months is prescribed. Not used in case of hyperandrogenism. The following side effects are possible: hot flashes, sweating, fluctuations in body weight, roughness of voice, increased oily skin, increased hair growth.
• Gonadotropin releasing hormone agonists. These include goserepine, triptorelin and some other drugs. The advantages of taking medications from this group include the possibility of short-term use and the absence of significant side effects. These drugs suppress the ovulatory process, reduce the concentration of estrogen, which together suppresses the prevalence of endometriotic lesions.
• Auxiliary medications: immunostimulating drugs, antispasmodic, analgesic, anti-inflammatory drugs.

A specific regimen for drug correction of the endometriotic process is prescribed by the attending physician, based on the characteristics of the clinical situation. Treatment for the condition must be comprehensive; it is important to strictly follow medical recommendations to maximize the effectiveness of the chosen treatment tactics for endometriosis.

A detailed table of how to treat uterine endometriosis with medication, including drugs, their mechanism of action, dosages and side effects:

Surgical treatment of endometriosis

With moderate and severe degrees of development of the endometrioid process, organ-preserving surgery on the uterus is indicated. In this case, fragments of heterotopias in organs, endometrioid cysts are removed, and adhesions are dissected.

Video of how uterine surgery is performed for endometriosis:

The operation is prescribed if conservative treatment does not bring the desired effect, there are contraindications to taking medications, there are lesions more than 3 cm in diameter, and the function of the organs of the excretory system and intestines is impaired. Quite often, operational measures are combined with conservative ones. Surgical intervention is carried out through laparotomy or laparoscopy.

Radical surgery, that is, removal of the appendages and extirpation of the uterus itself, can be prescribed if the patient is over 40 years old, the pathological process has progressed, or there is no effect from less radical correction methods.

In some cases, endometriosis is prone to relapsing, which may require repeated surgery. It is important to undergo preventive examinations with a specialist at least once every six months for the earliest possible detection of pathology and the effectiveness of conservative correction measures.

The criteria for the effectiveness of pathology treatment are:

• good health;
• absence of pain and other subjective complaints;
• no cases of recurrence of the process over five years after a full therapeutic course.

If a woman is of reproductive age, then the effectiveness of therapy is determined by the preservation of reproductive function. In most patients, even surgical correction does not cause complications in the form of infertility due to the use of modern laparoscopic methods.

In the case of radical operations, resumption of the pathological process does not occur.

Treating symptoms at home

Complementary and alternative treatments may include acupuncture, chiropractic, and herbal medicine, but there is no evidence that they are effective.

• According to many reviews found on forums, it helps some people cope with their illness.
• Quitting caffeine may help reduce pain, as caffeine can worsen symptoms.
• Exercise, such as walking, can reduce pain and slow the progression of the condition by lowering estrogen levels.

It is important to monitor symptoms due to the long-term complications of endometriosis. Severe pain or unexpected bleeding should be reported to your doctor.

Although there is currently no cure for endometriosis, most women can find relief by reducing symptoms and still having children.

Measures to prevent endometriosis

The sooner a woman visits a gynecologist when initial signs of a pathological process appear, the greater the likelihood of recovery and the lower the likelihood of prescribing surgery.

Self-medication or neglect of therapy only worsens the condition: with new menstruation, the appearance of new endometrioid lesions, the formation of cysts, the progression of the formation of adhesions and scars are observed, and the patency of the fallopian tubes decreases.

Basic preventive measures regarding the endometriotic process include:

• Examination of patients with complaints of dysmenorrhea. Women of any age when symptoms of dysmenorrhea appear are examined for a tendency to develop the endometrioid process.
• Observation of women who have undergone gynecological operations for timely detection of pathological foci. Any surgical intervention in the area of ​​the reproductive system can provoke the progression of endometriosis, so after surgery it is necessary to be regularly monitored by a specialist.
• Timely diagnosis and treatment of acute, chronic inflammatory processes of the reproductive system. Inflammatory diseases can also lead to the development of the endometrioid process, so it is important to treat pathologies in a timely manner and not neglect the prescribed methods of therapy.
/ article author

Higher education (Cardiology). Cardiologist, therapist, functional diagnostics doctor. I am well versed in the diagnosis and treatment of diseases of the respiratory system, gastrointestinal tract and cardiovascular system. Graduated from the academy (full-time), with extensive work experience behind her.

Specialty: Cardiologist, Therapist, Functional diagnostics doctor.

Which is a very common disease, occurs quite often. Representatives of the fair sex do not always immediately contact doctors to determine the true cause of the appearance of unpleasant symptoms. When a woman sees a doctor, the disease has reached far enough and it takes a long time to treat it. Often, hearing a diagnosis such as endometriosis from a doctor, the patient begins to panic, but this should not be done.

This disease is not fatal; you can live with it normally and not experience unpleasant symptoms. But at the same time, a woman will have to lead a correct lifestyle and constantly strengthen her immune system in order to stop the signs of endometriosis. The doctor must tell the patient what can be done and what should be avoided with this disease.

There is no need to be upset if endometriosis is diagnosed. Nowadays, a similar problem is diagnosed in approximately 20 percent of Russian women. And the numbers are constantly growing, since the factors that cause such an illness are constantly encountered in life. But the statistics cannot be called reliable and it is impossible to judge from them the real number of representatives of the fair sex with endometriosis. The thing is that this problem may not show itself for a long time.

For example, endometriosis can only manifest as painful periods and fever, which appear for no reason and go away on their own. A woman may not pay attention to such difficulties if they do not prevent her from leading her usual lifestyle. For some, it turns out to be much easier to endure once a month than to go to see a doctor.

If a representative of the fair sex is diagnosed with a similar disease, she needs to lead a correct lifestyle in order to reduce all its manifestations to nothing. This will allow critical days to pass more calmly and painlessly. They will not be so abundant, and a high temperature will not appear. But to do this, you need to follow your doctor’s recommendations and not use prohibited methods to treat endometriosis.

For example, in no case should you use mud therapy, warm your stomach and back yourself, take a hot bath, use hormonal drugs that were not prescribed by a doctor, and also be treated exclusively with traditional methods, mainly herbs.

All this may not only not give the desired effect during treatment, but also cause complications. For example, bacteria can get into a problem area, which will lead to a deterioration in the body’s condition. Warming up and hot baths can cause the inflammatory process to worsen. This will cause not only severe pain, but also an increase in temperature, even fever.

Many women who have been diagnosed with endometriosis are concerned about whether it is possible to sunbathe and sunbathe with this disease. To avoid complications, you should not get carried away with such procedures. Moreover, experts do not recommend visiting saunas, solariums and baths. Even if you are planning a trip to warm countries, you should spend less time in the sun and avoid overheating.

All this can cause a lot of health problems. It is especially important to take care of yourself and avoid the sun and excessive heat during critical days. Overheating will cause severe pain during your period, heavy bleeding and fever. In some cases, the symptoms are so severe that an ambulance has to be called.

Such a disease must be treated with special medications. But they are prescribed only by a doctor after a thorough examination of the patient and carrying out all the necessary tests. However, treatment with tablets can be supplemented with additional procedures that will be useful for getting rid of unpleasant symptoms.

This should primarily include gynecological massage. But it is carried out only by an experienced specialist, since incorrect actions can harm a woman’s health. Physiotherapeutic procedures that are aimed at improving blood flow will also not be superfluous. Properly selected therapeutic measures will help remove adhesions and normalize the functioning of the reproductive system.

Sports should not be ignored in the treatment of endometriosis. This is very useful for getting rid of many problems, including diseases of the female reproductive system. If a person wants to be healthy, sport should become an integral part of his life.

In general, experts strongly recommend that representatives of the fair sex who are faced with endometriosis lead a correct and healthy lifestyle. This rule is also relevant for those who do not yet have problems with the reproductive system, but prevention will not hurt here either. Exercising, preferably in the fresh air, moderate physical activity, quality sleep and proper nutrition will do their job, and a woman will not have to deal with the unpleasant symptoms of endometriosis.

When it comes to playing sports, you need to be careful. The thing is that endometriosis does not tolerate serious physical activity. Therefore, if a woman leads a sedentary lifestyle and has not exercised for a long time, it is worth starting small. To begin with, it is enough to perform simple yoga asanas.

You can do exercises and jog in the park every morning. These are great ways to put your body in order, normalize blood circulation, get rid of fluid stagnation and cure many diseases.

What is basal temperature in this disease?

As mentioned above, for women who have been diagnosed with endometriosis, it is very important to follow the norm. This applies to physical activity, heat, and even the foods consumed. All this can lead to an exacerbation of the disease, and, as a result, to a significant increase in temperature.

It is necessary to say separately about the thermometer readings during endometriosis, since the disease is often determined by them. Endometriosis can change your basal body temperature, which is the temperature that can be measured immediately after sleep. Increased indicators make it possible to diagnose the problem even at the earliest stage of its development. This can be determined by an increased basal temperature in the middle of the menstrual cycle. Values ​​around 37.5 degrees can be observed during pregnancy. If a representative of the fair sex is 100 percent sure that conception is impossible, she needs to consult a doctor. It is quite possible that in this case we are talking about endometriosis.

Basal temperature will tell you about many pathologies and various processes that can occur in the body. For example, endometriosis can be diagnosed by increased levels in the middle of the menstrual cycle. A little closer to the beginning of critical days, the basal temperature becomes lower, but not by much, since the thermometer will continue to show about 37 degrees.

This diagnostic method is quite informative, but not the most convenient. The thing is that to obtain accurate information, you need to carry out measurements over a period of 2-3 months. This will allow you to compare the data and identify discrepancies with the norm, which will indicate problems in the reproductive system.

Many women whose periods have become so painful that they can no longer bear it begin to use the method of measuring basal temperature. Clearly performing certain actions every morning, you need to enter the readings in a diary or a special schedule. Such information will be very useful when visiting a doctor, who will be able to correctly decipher this data and make the correct diagnosis.

To what level can the temperature rise?

As for endometriosis, not only the basal temperature can be elevated. Sometimes, if a woman leads an unhealthy lifestyle, she may develop a real fever.

However, most simply do not understand the reasons for high temperature. For example, a woman could take a bath or simply bask in the sun on the beach, and after an hour the thermometer would show a body temperature of 38 or higher.

If this starts to happen often, and it will, in the case when a representative of the fair sex does not protect herself from overheating, the sun and unnecessary physical activity, panic may begin. A sudden fever without additional symptoms is very frightening. In such a situation, you should immediately consult a doctor.

It is worth noting that even an experienced specialist may not immediately suspect that we are talking about endometriosis. Patients often have to undergo many tests before receiving a correct diagnosis. Therefore, when complaining about high temperature, you should not forget to inform the gynecologist about painful and heavy periods.

What to do in case of high temperature?

There can only be one answer - go to the doctor. In this case, you will have to go through a lot of diagnostic procedures and tests, after which the real problem of elevated temperature will be identified. With endometriosis, it can suddenly increase, increase in the middle of the menstrual cycle, or simply be slightly higher than normal, but constantly, which affects the general health of the woman.

All this is very unpleasant and cannot be tolerated. First you need to cure the disease itself. Various methods are used for this, but they must be agreed upon with the attending physician.

Much depends on the severity of the disease. For some, only powerful medications will help, while others make do with tinctures and herbal teas. In some cases, hirudotherapy is even used as an alternative to traditional medicine.

Some consider it a panacea for many diseases, including pathologies of the female reproductive system. But this method is quite controversial, although it shows good results in a number of cases. It is very important that the leeches that will be used in treatment must be specially bred for these purposes, and not wild. The latter can, in addition to endometriosis, bring several other ailments, but these are already very dangerous.

Any treatment is carried out exclusively on the recommendation of an experienced doctor. With the right approach, you can forget about the unpleasant manifestations of endometriosis, including high fever.

Bibliography

1. Clinical guidelines for contraception. /Translation from English/ Edited by Professor V.N. Prilepskaya - 2009, M.: BINOM Publishing House.
2. Arterial hypertension in pregnant women. Is it just gestosis? Guide for doctors. Makarov O.V. 2006 Publisher: Geotar-Media.
3. Emergency care for extragenital pathology in pregnant women. 2008, 2nd edition, corrected and expanded, Moscow, “Triad-X”.
4. Preeclampsia: theory and practice. Ailamazyan E.K., Mozgovaya E.V. 2008 Publisher: MEDpress-inform.
5. Arterial hypertension in pregnant women Preeclampsia (preeclampsia). Makarov O.V., Volkova E.V. RASPM; Moscow; TsKMS GOU VPO RGMU.-31 pp.- 2010.

Endometriosis is a complex gynecological disease that is difficult to treat. It is important to promptly identify such pathology and begin effective complex therapy. Doctors identify the disease by certain symptoms.

With endometriosis, the temperature rises slightly, pain and discomfort occur in the lower abdomen. Such symptoms should alert the patient. An increased basal temperature with endometriosis is a reason to contact a gynecologist and undergo diagnostics.

Causes

The temperature with endometriosis of the uterus increases, but not significantly. Such jumps directly depend on the menstrual cycle. The more the pathology progresses, affecting large areas of healthy tissue, the higher the basal temperature can rise.

This symptom can also occur against the background of painful attacks. If you find that your temperature has risen to 37 and scanty bleeding from the vagina has begun, be sure to consult a doctor. This may be a symptom of the development of inflammation in the genitals or the progression of endometriosis.

After making an accurate diagnosis, the doctor prescribes a course of effective treatment for the pathology. During therapy, it is also recommended to monitor the temperature and report any deviations from the norm to your doctor.

BT measurement

To properly treat and diagnose a gynecological disease, a doctor will need a basal temperature chart. What it is? Basal temperature is measured when the patient is at rest or even sleeping. Changes in this indicator and even minor deviations from the norm can indicate pathologies of the reproductive system.

To measure your basal temperature as accurately as possible, carry out this procedure in the morning, immediately after waking up. Place the thermometer on your bedside table in advance so that you don’t even have to get out of bed.

It is best to insert the thermometer with the tip into the anus or vagina. Some patients prefer to measure body temperature by holding the device in their mouth. To ensure that the basal temperature chart for endometriosis is as accurate and reliable as possible, use only one selected measurement method.

The procedure must be repeated throughout the entire menstrual cycle, as well as during menstruation. Do not forget to record the received data in a notepad or on a separate piece of paper. These measurements will definitely come in handy. Just show them to your doctor so that he can make an accurate diagnosis without any problems.

Each patient should take responsibility for drawing up a basal temperature chart. To ensure that the indicators are as accurate as possible, be sure to use the following recommendations from doctors.

• Before you start measuring temperature, make sure that the thermometer is working properly.
• Always use the same device.
• The measurement should last at least 5-10 minutes.
• You need to determine your basal body temperature on an empty stomach. It is best to carry out the procedure at the same time.
• Be sure to follow a sleep schedule.

Basal body temperature can be influenced by factors that have nothing to do with the state of your women's health - stress, fatigue at work, colds, taking strong medications, drinking alcohol and smoking, overheating in a sauna, sleepless night. All these factors must be taken into account when drawing up a schedule.

Changes

Can there be a fever with endometriosis? Only a gynecologist will give you the answer to this question. It all depends on the individual characteristics of your body, as well as the form of the female disease. With endometriosis, the basal temperature chart can change in a certain way, which helps doctors determine the type of disease as accurately as possible.

In patients with this pathology, the following body temperature measurements are observed during the menstrual cycle:

• At the end of the cycle, immediately before menstruation, the temperature decreases and becomes within normal limits - from 36.8 to 37 degrees.
• During menstrual bleeding, body temperature increases, regardless of the presence or absence of endometriosis. In healthy women, this figure is 37 degrees, but in patients with endometrial pathology it can be much higher - up to 38. In this case, headaches, general weakness, and loss of strength may additionally occur.
• By the middle of the next cycle, basal body temperature should return to normal. For each woman, the normal temperature is different - from 36.6 to 36.9 degrees.
• A stable temperature remains until the onset of the next menstruation.

If in the middle of your cycle your temperature rises sharply, be sure to buy a pregnancy test. This sign may indicate successful conception of a child. If you are sure that you are not pregnant, then this is a symptom of endometriosis or an inflammatory process in the organs of the reproductive system.

As we have already found out, endometriosis and temperature are interrelated concepts. The more the pathology progresses, the higher the patient’s temperature may rise during menstruation.

You can get rid of body aches and other unpleasant symptoms at home, without resorting to taking potent antipyretic drugs. With a slight increase in temperature, you can drink herbal decoctions and infusions. Procedures with leeches will help bring down a high basal temperature. Hirudotherapy is widely used to treat endometriosis and general health of the body.

Consider a simple recipe for a decoction that will help eliminate heat in the body due to endometriosis. To prepare it you will need 2 tbsp. dried linden flowers. Pour a glass of boiling water over them, cover the container with a lid, and let it brew for 30 minutes. Then you need to strain the broth and drink it in 2 doses.

If your temperature rises systematically, you should definitely consult a doctor. Endometriosis is asymptomatic in most cases. If this pathology is not treated in time, the patient may become infertile. There is also a risk of abnormal endometrial cells degenerating into cancer. Self-medication can only make the situation worse.

How does temperature change with endometriosis?

Endometriosis is a pathology in which cells similar to those that line the inside of the uterus appear in other, completely unusual places. There are known cases of endometriotic lesions appearing in the scar area after removal of mammary glands, in the brain, and on the membranes of the eye.

Cell dispersal occurs due to mechanical trauma to the endometrium. All the causes of endometriosis have nothing to do with hormonal fluctuations or effects on the thermoregulatory center of the brain (it is responsible for maintaining body temperature at a constant level).

There is no release of any pyrogenic (temperature-increasing) substances, so body temperature with endometriosis remains normal, and its changes are associated with other pathological processes.

Basal temperature is the one measured at rest. To measure it correctly, it is necessary that a person has no physical activity for at least 3 hours. Characterizes the intensity of metabolism, its level depends on the concentration of hormones, including sex hormones. Careful measurement, charting and subsequent analysis can identify some gynecological diseases and conditions.

Rules for measuring basal temperature

But endometriosis is not accompanied by changes in metabolic rate, and sex hormone levels may be normal, so basal temperature remains within normal limits. But if endometriosis is combined with other diseases, which often happens, for example, with polycystic disease, chronic adnexitis, that is, changes in indicators.

In general, the schedule for this pathology should correspond to the norm and have the following characteristics:

• A day or two before ovulation, due to an increase in the LH level of the pituitary gland, there is a slight drop in the temperature level on the curve, usually by no more than half a degree.
• Then there is a sharp jump in temperature, after which it is maintained at a certain level until the onset of menstruation - just above 37 degrees.
• With the onset of critical days, it falls again.

Basal temperature (BT) chart

To obtain reliable figures for basal temperature, it is necessary to observe all the nuances of measurements and make corrections and notes in case of violation of the regime or in the presence of special circumstances.

Higher temperature readings for uterine endometriosis can be obtained with the simultaneous presence of other diseases, even those not related to the genital organs. Anyway detection of constant low-grade fever and especially high numbers should be a reason for a visit to the doctor.

The most common combinations of endometriosis and pathologies with low-grade fever are the following:

• Inflammation of an ovarian cyst, including endometrioid nature. Additionally, the girl will note the appearance of nagging or severe pain in the lower abdomen, weakness, and lethargy. As inflammation progresses, signs of peritonitis may develop: involvement of the abdominal covering of internal organs in the process, which is dangerous for the woman’s life and requires immediate surgical treatment.
• . The development of endometriosis is based on changes in the immune response. Some pathologies of immune origin of the thyroid gland may be accompanied by its hyperfunction and then depletion (for example, autoimmune thyroiditis). In the first phase, the girl will note the appearance of a low but constantly elevated body temperature, sweating, a feeling of heat, and irritability.

• . Some of them may be accompanied by either periodic fever or constant low-grade fever.
• Brain tumors

Temperature above 37.5 in 9 out of 10 cases - a response to inflammation in some organ. Endometriosis cannot produce such high temperatures, only as a complication of the performed manipulations. For example, endometritis after diagnostic curettage or abortion, inflammation of the endometrioid ovarian cyst and the formation of an abscess and some others.

Read more in our article about temperature with endometriosis.

Read in this article

Does endometriosis cause fever?

Endometriosis is a pathology in which cells similar to those that line the inside of the uterine cavity appear in other, completely unusual places: on the genitals and even the non-serous intestine, on the peritoneum, liver, etc. There are known cases of endometriotic lesions appearing in the scar area after removal of mammary glands, in the brain, and on the membranes of the eye.

Cell dispersal occurs when mechanical trauma to the endometrium (for example, after curettage, cesarean section, removal of fibroids, etc.), when menstrual blood is thrown into the fallopian tubes during menstrual periods and further into the abdominal cavity. Tissues can travel to other places through lymphatic and blood vessels, where they take root. There are also other theories of the occurrence of pathology - disruption of embryogenesis, cell degeneration and others.

Thus, all the causes of endometriosis have nothing to do with hormonal fluctuations or effects on the thermoregulatory center of the brain (it is responsible for maintaining body temperature at a constant level). There is no release of any pyrogenic (temperature-increasing) substances, so body temperature with endometriosis remains normal and its changes are associated with other pathological processes.

Read more about the symptoms of endometriosis here.

Basal temperature in pathology

Basal temperature is called resting temperature. To measure it correctly, it is necessary that a person has no physical activity for at least 3 hours. Basal temperature characterizes the intensity of metabolism; its level depends on the concentration of hormones, including sex hormones.

Careful measurement, charting and subsequent analysis allows us to identify some gynecological diseases and conditions, for example, inflammation in the appendage area, lack of ovulation, insufficiency of the second phase of the cycle.

Endometriosis is not accompanied by changes in metabolic rate, and levels of sex hormones may be normal, so basal temperature remains within normal limits. The exception is situations when endometriosis is combined with other diseases, which often happens, for example, with polycystic disease, chronic adnexitis and others.

Normal basal temperature (BT) chart

In general, the schedule for this pathology should correspond to the norm and have the following characteristics:

• In the first phase of the cycle, from days 1 to 14, the basal temperature is approximately the same level and does not reach 37 degrees.
• A day or two before ovulation, due to an increase in the LH level of the pituitary gland, the temperature level on the curve drops slightly, usually by no more than half a degree.
• Then there is a sharp jump in temperature, after which it is maintained at a certain level until the onset of menstruation, just above 37 degrees.
• With the onset of critical days, it falls again, and a new cycle begins.

Why might a woman with uterine endometriosis have a fever?

Higher temperature readings for uterine endometriosis can be obtained with the simultaneous presence of other diseases, even those not related to the genital organs. In any case, the detection of constant low-grade fever and especially high numbers should be a reason for a visit to the doctor for a thorough further examination.

Low-grade fever

May be associated with many conditions. The most common combinations of endometriosis and pathologies, which are accompanied by low-grade fever, are the following:

• Inflammation of an ovarian cyst, including endometrioid nature. Additionally, the girl will note the appearance of nagging or severe pain in the lower abdomen, weakness, and lethargy. As inflammation progresses, signs of peritonitis may develop—involvement of the abdominal covering of internal organs in the process, which is dangerous to the woman’s life and requires immediate surgical treatment.
• Thyroid diseases. It is believed that the development of endometriosis is based on changes in the immune response. Therefore, cells can settle and take root in places unusual for them. Some pathologies of immune origin of the thyroid gland may be accompanied by its hyperfunction and then depletion (for example, autoimmune thyroiditis).

In the first phase, the girl will note the appearance of a low but constantly elevated body temperature, sweating, a feeling of heat, and irritability.

• Infectious intestinal diseases. Some of them may be accompanied by either a periodic increase in temperature or constant low-grade fever.
• Brain tumors. They are rare; an increase in temperature is possible when the formations are localized near the thermoregulatory center of the hypothalamus.

Above 37.5

Such high temperature readings should not leave any doubt that some serious processes are occurring in the female body. In 9 out of 10 cases, this is a response to inflammation in some organ, including the genitals.

Endometriosis itself cannot produce such high temperatures, only as a complication of the manipulations being carried out. For example, endometritis after diagnostic curettage or abortion, inflammation of the endometrioid ovarian cyst and the formation of an abscess and some others. Only a specialist will be able to understand the situation and prescribe competent treatment.

And here is more information about whether pregnancy is possible with adenomyosis.

Endometriosis is a mystery disease. Currently, only a few facts about the pathology are known, on which the treatment is based. Endometriosis is not accompanied by an increase in body temperature, including basal temperature. However, complications due to the disease can provoke hyperthermia. If you have any complaints, you should consult a doctor for examination and treatment.

Useful video

Watch this video about the symptoms and treatment of endometriosis:

Cycle disorders and dysfunction. Neoplasms and cysts. Endometriosis. Erosion. . If the tumor-like formation becomes inflamed, the body temperature additionally rises, the pain is intense and localized.

Cycle disorders and dysfunction. Neoplasms and cysts. Endometriosis. Erosion. Women Health. Hygiene and contraception.

Cycle disorders and dysfunction. Neoplasms and cysts. Endometriosis. Erosion. . Chart of changes in basal temperature during pregnancy. A prolonged inflammatory process disrupts hormonal balance and...

Can there be a fever with endometriosis?

Fever with endometriosis, which is a very common disease, is quite common. Representatives of the fair sex do not always immediately contact doctors to determine the true cause of the appearance of unpleasant symptoms. When a woman sees a doctor, the disease has reached far enough and it takes a long time to treat it. Often, hearing a diagnosis such as endometriosis from a doctor, the patient begins to panic, but this should not be done.

This disease is not fatal; you can live with it normally and not experience unpleasant symptoms. But at the same time, a woman will have to lead a correct lifestyle and constantly strengthen her immune system in order to stop the signs of endometriosis. The doctor must tell the patient what can be done and what should be avoided with this disease.

There is no need to be upset if endometriosis is diagnosed. Nowadays, a similar problem is diagnosed in approximately 20 percent of Russian women. And the numbers are constantly growing, since the factors that cause such an illness are constantly encountered in life. But the statistics cannot be called reliable and it is impossible to judge from them the real number of representatives of the fair sex with endometriosis. The thing is that this problem may not show itself for a long time.

For example, endometriosis can only manifest as painful periods and fever, which appear for no reason and go away on their own. A woman may not pay attention to such difficulties if they do not prevent her from leading her usual lifestyle. For some, it turns out to be much easier to endure once a month than to go to see a doctor.

What is prohibited for endometriosis?

If a representative of the fair sex is diagnosed with a similar disease, she needs to lead a correct lifestyle in order to reduce all its manifestations to nothing. This will allow critical days to pass more calmly and painlessly. They will not be so abundant, and a high temperature will not appear. But to do this, you need to follow your doctor’s recommendations and not use prohibited methods to treat endometriosis.

For example, in no case should you use mud therapy, warm your stomach and back yourself, take a hot bath, use hormonal drugs that were not prescribed by a doctor, and also be treated exclusively with traditional methods, mainly herbs.

All this may not only not give the desired effect during treatment, but also cause complications. For example, bacteria can get into a problem area, which will lead to a deterioration in the body’s condition. Warming up and hot baths can cause the inflammatory process to worsen. This will cause not only severe pain, but also an increase in temperature, even fever.

Many women who have been diagnosed with endometriosis are concerned about whether it is possible to sunbathe and sunbathe with this disease. To avoid complications, you should not get carried away with such procedures. Moreover, experts do not recommend visiting saunas, solariums and baths. Even if you are planning a trip to warm countries, you should spend less time in the sun and avoid overheating.

All this can cause a lot of health problems. It is especially important to take care of yourself and avoid the sun and excessive heat during critical days. Overheating will cause severe pain during your period, heavy bleeding and fever. In some cases, the symptoms are so severe that an ambulance has to be called.

Such a disease must be treated with special medications. But they are prescribed only by a doctor after a thorough examination of the patient and carrying out all the necessary tests. However, treatment with tablets can be supplemented with additional procedures that will be useful for getting rid of unpleasant symptoms.

This should primarily include gynecological massage. But it is carried out only by an experienced specialist, since incorrect actions can harm a woman’s health. Physiotherapeutic procedures that are aimed at improving blood flow will also not be superfluous. Properly selected therapeutic measures will help remove adhesions and normalize the functioning of the reproductive system.

Sports should not be ignored in the treatment of endometriosis. This is very useful for getting rid of many problems, including diseases of the female reproductive system. If a person wants to be healthy, sport should become an integral part of his life.

In general, experts strongly recommend that representatives of the fair sex who are faced with endometriosis lead a correct and healthy lifestyle. This rule is also relevant for those who do not yet have problems with the reproductive system, but prevention will not hurt here either. Exercising, preferably in the fresh air, moderate physical activity, quality sleep and proper nutrition will do their job, and a woman will not have to deal with the unpleasant symptoms of endometriosis.

When it comes to playing sports, you need to be careful. The thing is that endometriosis does not tolerate serious physical activity. Therefore, if a woman leads a sedentary lifestyle and has not exercised for a long time, it is worth starting small. To begin with, it is enough to perform simple yoga asanas.

You can do exercises and jog in the park every morning. These are great ways to put your body in order, normalize blood circulation, get rid of fluid stagnation and cure many diseases.

What is the basal temperature for this disease?

As mentioned above, for women who have been diagnosed with endometriosis, it is very important to follow the norm. This applies to physical activity, heat, and even the foods consumed. All this can lead to an exacerbation of the disease, and, as a result, to a significant increase in temperature.

It is necessary to say separately about the thermometer readings during endometriosis, since the disease is often determined by them. Endometriosis can change your basal body temperature, which is the temperature that can be measured immediately after sleep. Increased indicators make it possible to diagnose the problem even at the earliest stage of its development. This can be determined by an increased basal temperature in the middle of the menstrual cycle. Values ​​around 37.5 degrees can be observed during pregnancy. If a representative of the fair sex is 100 percent sure that conception is impossible, she needs to consult a doctor. It is quite possible that in this case we are talking about endometriosis.

Basal temperature will tell you about many pathologies and various processes that can occur in the body. For example, endometriosis can be diagnosed by increased levels in the middle of the menstrual cycle. A little closer to the beginning of critical days, the basal temperature becomes lower, but not by much, since the thermometer will continue to show about 37 degrees.

This diagnostic method is quite informative, but not the most convenient. The thing is that to obtain accurate information, you need to carry out measurements over a period of 2-3 months. This will allow you to compare the data and identify discrepancies with the norm, which will indicate problems in the reproductive system.

Many women whose periods have become so painful that they can no longer bear it begin to use the method of measuring basal temperature. Clearly performing certain actions every morning, you need to enter the readings in a diary or a special schedule. Such information will be very useful when visiting a doctor, who will be able to correctly decipher this data and make the correct diagnosis.

To what level can the temperature rise?

As for endometriosis, not only the basal temperature can be elevated. Sometimes, if a woman leads an unhealthy lifestyle, she may develop a real fever.

However, most simply do not understand the reasons for high temperature. For example, a woman could take a bath or simply bask in the sun on the beach, and after an hour the thermometer would show a body temperature of 38 or higher.

If this starts to happen often, and it will, in the case when a representative of the fair sex does not protect herself from overheating, the sun and unnecessary physical activity, panic may begin. A sudden fever without additional symptoms is very frightening. In such a situation, you should immediately consult a doctor.

It is worth noting that even an experienced specialist may not immediately suspect that we are talking about endometriosis. Patients often have to undergo many tests before receiving a correct diagnosis. Therefore, when complaining about high temperature, you should not forget to inform the gynecologist about painful and heavy periods.

What to do in case of high temperature?

There can only be one answer - go to the doctor. In this case, you will have to go through a lot of diagnostic procedures and tests, after which the real problem of elevated temperature will be identified. With endometriosis, it can suddenly increase, increase in the middle of the menstrual cycle, or simply be slightly higher than normal, but constantly, which affects the general health of the woman.

All this is very unpleasant and cannot be tolerated. First you need to cure the disease itself. Various methods are used for this, but they must be agreed upon with the attending physician.

Much depends on the severity of the disease. For some, only powerful medications will help, while others make do with tinctures and herbal teas. In some cases, hirudotherapy is even used as an alternative to traditional medicine.

Some consider it a panacea for many diseases, including pathologies of the female reproductive system. But this method is quite controversial, although it shows good results in a number of cases. It is very important that the leeches that will be used in treatment must be specially bred for these purposes, and not wild. The latter can, in addition to endometriosis, bring several other ailments, but these are already very dangerous.

Any treatment is carried out exclusively on the recommendation of an experienced doctor. With the right approach, you can forget about the unpleasant manifestations of endometriosis, including high fever.

Could a fever be a symptom of endometriosis?

Many diseases of the female reproductive system go unnoticed for a long time, as they have subtle symptoms. Women blame even disruptions in the menstrual cycle on stress, overwork and other physiological factors. But it is impossible not to notice a periodic increase in temperature without obvious reasons. And it is this symptom that often helps diagnose such an unpleasant disease as endometriosis.

But not all women know that basal temperature with uterine endometriosis can increase and do not always report this increase to their gynecologist.

Description of the disease

Endometriosis of the uterus is a disease in which endometrial cells spread and begin to develop outside the inner layer of the uterus. It happens that not only the organs of a woman’s reproductive system suffer from pathology, but also the intestines, bladder and others.

The exact causes of uterine endometriosis are not known. But for the disease to appear, there must be an imbalance of sex hormones and disturbances in the functioning of the immune system. Only under such conditions will endometrial cells be able to spread beyond the inner layer of the uterus and gain a foothold in a new location. Factors provoking the appearance of the disease are:

• various gynecological operations that violate the integrity of the uterus, including abortions;
• use of an intrauterine device;
• hereditary predisposition;
• overweight.

The main symptom of uterine endometriosis is disruptions in the menstrual cycle. Most often, the duration of discharge and its intensity increase. There are also often pain sensations that intensify before the onset of menstruation. The question: can there be a temperature with endometriosis is not simple. The fact is that many doctors say that body temperature does not increase with endometriosis of the uterus. But usually we are talking about general indicators. But at the same time, do not forget about the basal temperature, which can change.

What is basal temperature?

Basal body temperature is the minimum value to which a woman’s temperature drops during rest or sleep. Since it is measured rectally, you can also find the name rectal, which does not accurately reflect the essence. You need to know that basal temperature is individual for each woman and changes during the menstrual cycle.

Therefore, in order to be able to track any deviations from your normal basal temperature, you need to know the values ​​that correspond to the norm. Usually, all changes are monitored by those women who are trying to conceive a child, because by basal temperature you can quite accurately determine the moment of ovulation.

If a woman does not suffer from endometriosis, then the graph of changes in basal temperature is approximately as follows.

1. During menstruation, the basal temperature gradually decreases and by the end of the last day of discharge it can reach a value of 36 degrees.
2. The temperature remains at this value until the middle of the cycle.
3. During the maturation of the egg, the indicator increases and remains this way for 3 days. The basal temperature at this time is about 37–37.3 degrees.
4. After the egg is released, the temperature should rise a little more and reach a value of 37.5 degrees. This value lasts about 2 weeks.
5. Before the onset of menstruation, different women have temperatures ranging from 36.9–37 degrees.

It is necessary to pay attention that between the two phases of the cycle there must be a temperature jump of at least 0.4 degrees, as this indicates the normal functioning of the hormonal system.

Disturbances in the normal cycle of changes in basal temperature can indicate the onset of the disease much earlier than the appearance of other symptoms. Therefore, it is advisable for women at risk to constantly keep a diary with a graph of their indicators.

The disadvantage of this method for early diagnosis of uterine endometriosis is that to obtain reliable results it is necessary to carry out measurements over at least several months. And taking measurements every morning at the same time for at least 2-3 months in a row is quite difficult for a woman leading an active lifestyle.

Changes in basal temperature with endometriosis

There is practically no increase in general body temperature with endometriosis of the uterus. Only if at such stages of the disease, when the tissue has grown too much and causes inflammatory processes in the body. Can there be an elevated temperature with endometriosis in other cases? Maybe if the body of a woman with this disease is affected by some negative factors, such as solarium, prolonged exposure to the sun, excessive physical activity. In this case, the overall temperature can rise to 38 degrees or even more.

Changes in basal temperature with uterine endometriosis are usually cyclical and depend on the stage of the menstrual cycle.

1. 3–4 before the start of menstruation, a woman’s basal temperature decreases. In each case, this value will be individual, but on average at the beginning of menstruation it will be about 37 degrees.
2. During the onset of discharge, basal temperature also rises in healthy women. However, with endometriosis, the maximum value is much higher than normal and often exceeds 38 degrees.
3. After the end of menstruation, the basal temperature returns to normal, and then the cycle repeats again.

If you notice such jumps in your basal temperature, you should contact your gynecologist. After all, such a symptom can indicate both endometriosis of the uterus, pregnancy, and some kind of inflammatory process in the body.

Additional symptoms

The fact that the basal temperature begins to rise is not the only symptom by which one can suspect the presence of uterine endometriosis, since there is an increase in values ​​during pregnancy or other factors. Therefore, you should pay attention to the following symptoms.

• Bloody spotting that appears at unusual times in your cycle.
• Pain during menstruation or during sex.
• Unpleasant sensations in the pelvic area, which resemble a feeling of heaviness due to intestinal dysfunction.
• Disorders of the gastrointestinal tract or excretory system.
• Signs of general intoxication of the body.
• Inability to conceive a child.

A woman’s attentiveness to the processes occurring in her body will help to detect unpleasant symptoms in a timely manner.

Correct temperature measurement

In order for the temperature that increases with uterine endometriosis to be measured correctly, certain conditions must be met. This is important for obtaining reliable data and can facilitate diagnosis.

• For measurements, you need to use a well-functioning thermometer; it is better to check the accuracy of its readings in advance.
• Measurements must be taken every morning, including weekends, and preferably at the same time.
• Do not eat or drink any drinks before taking measurements.
• It is better to leave the thermometer on the bedside table in the evening, as unnecessary movements before measuring the temperature can distort the result. Therefore, it is necessary to exclude even unnecessary hand movements.
• A woman's night's sleep before the change should last at least 6 hours.
• Basal temperature can be measured rectally or vaginally. But you can select the measurement method only once, and continue in the future.
• The thermometer should be held for at least 10 minutes.

All obtained values ​​should be recorded in a notebook or notepad. This will help the treating gynecologist track all changes and make the correct diagnosis. If any condition was violated, then an appropriate entry should be made.

You should also know that there are factors that can influence basal temperature readings.

It is necessary to take into account their presence and report them to the gynecologist or note them in your diary.

• Chronic diseases and inflammatory processes.
• Taking certain medications.
• Change of climate or time zones.
• Smoking and drinking alcohol.
• Insomnia and lack of sleep.
• Variable work schedule, including night shifts.
• Stress.
• Overheating of the body.

What to do if your basal temperature starts to rise?

First of all, you should definitely visit a gynecologist and find the cause of such changes. In this case, the gynecologist will prescribe additional diagnostics and, if necessary, prescribe treatment. Treatment varies depending on the stage of endometriosis, symptoms that appear, and other factors. It happens that medication is enough for treatment, while in other cases surgical treatment is required.

During the entire course of treatment for endometriosis, you cannot use mud therapy, warm up the pelvic area using various methods, take a hot bath, or increase body temperature in other ways. All this can lead to complications, such as increased inflammatory processes occurring in the body.

If the basal temperature is unstable, or before the onset of menstruation the indicator decreases slightly, and during discharge it rises to 38 degrees or higher, then all this can signal endometriosis. Therefore, you should visit a gynecologist and undergo all the necessary examinations. After all, timely diagnosis and adequate treatment will help to significantly reduce possible complications from the disease.

Temperature with endometriosis: what to do?

Endometriosis is a fairly common female disease. A specialist can determine it based on a number of signs. Unfortunately, women are not always in a hurry to see a doctor with unpleasant symptoms. And in vain, because temperature with endometriosis is a serious phenomenon that should not be ignored.

Is the feeling of heat in the body with endometriosis important or not?

Can body temperature increase with endometriosis? Endometriosis and fever are not uncommon. The disease may be asymptomatic. But if the disease progresses and has an extensive lesion, the body may respond to pain by increasing body temperature. If a woman is bothered by frequent cases of fever, sometimes accompanied by bloody discharge, it is time to suspect the presence of inflammation in the genitals.

Therefore, it is very important to monitor temperature indicators when suffering from endometriosis. If you do not give this symptom due importance, there is a high risk of aggravating the situation and starting the disease.

How to measure basal temperature?

An additional method for detecting endometriosis is measuring basal body temperature.

Basal body temperature (bt) is the lowest temperature that the human body reaches during sleep or rest. This figure indicates changes in the female reproductive system.

The measurement procedure must be carried out immediately after waking up, remaining in a supine position. The thermometer is placed in the vagina, rectum or oral cavity. The selected measurement location cannot be changed. It is necessary to record the obtained data throughout the entire cycle, including the days of menstruation.

To more conveniently record indicators, you can keep a special diary where you need to note digital changes every day. In the future, these records should be shown to the doctor to clarify the diagnosis.

Temperature indicators for endometriosis

Basal temperature for endometrial problems “manifests” itself in a certain way, which helps diagnose this disease.

With endometriosis, the following BT indicators are observed:

• A few days before menstruation, the readings will drop below 37 degrees (the norm is 36.8 – 37 degrees).
• During menstruation, the temperature always rises. But with endometriosis, its indicator will significantly exceed the norm of 37 degrees. This can cause headaches and general weakness of the body.
• In the middle of the cycle, the graph indicator is usually normal. These indicators are individual for each woman. A doctor will help determine the optimal number of degrees for a particular patient.
• After the end of menstruation, the temperature again becomes stable until the subsequent premenstrual period.

Important! Sometimes an increase in basal temperature in the middle of the cycle can indicate pregnancy. If a woman is completely sure that she has not conceived, we can assume the presence of endometriosis.

Such changes cannot be ignored. Even if we exclude the presence of problems with the endometrium, this situation clearly indicates inflammatory processes in the female genital organs.

What to do if you get promoted?

Actions taken when the temperature rises during the period of endometriosis directly depend on the degree of the disease. Some women will benefit from herbal infusions or teas, while others cannot do without the use of medications. In some cases, you have to resort to the help of leeches during hirudotherapy.

If a woman feels a slight heat in her body, you can use folk recipes to reduce it. Linden has proven itself especially well in this matter. 2 tablespoons of dry linden leaves are poured with boiling water in the amount of 1 cup. Afterwards, the broth is infused under the lid for about 20 minutes. When body temperature rises, the drug is taken twice a day.

Many diseases of the female reproductive system go unnoticed for a long time, as they have subtle symptoms. Women blame even disruptions in the menstrual cycle on stress, overwork and other physiological factors. But it is impossible not to notice a periodic increase in temperature without obvious reasons. And it is this symptom that often helps diagnose such an unpleasant disease as endometriosis.

But not all women know that basal temperature with uterine endometriosis can increase and do not always report this increase to their gynecologist.

Description of the disease

Endometriosis of the uterus is a disease in which endometrial cells spread and begin to develop outside the inner layer of the uterus. It happens that not only the organs of a woman’s reproductive system suffer from pathology, but also the intestines, bladder and others.

The exact causes of uterine endometriosis are not known. But for the disease to appear, there must be an imbalance of sex hormones and disturbances in the functioning of the immune system. Only under such conditions will endometrial cells be able to spread beyond the inner layer of the uterus and gain a foothold in a new location. Factors provoking the appearance of the disease are:

• various gynecological operations that violate the integrity of the uterus, including abortions;
• use of an intrauterine device;
• hereditary predisposition;
• overweight.

The main symptom of uterine endometriosis is disruptions in the menstrual cycle. Most often, the duration of discharge and its intensity increase. There are also often pain sensations that intensify before the onset of menstruation. The question: can there be a temperature with endometriosis is not simple. The fact is that many doctors say that body temperature does not increase with endometriosis of the uterus. But usually we are talking about general indicators. But at the same time, do not forget about the basal temperature, which can change.

What is basal temperature?

Basal body temperature is the minimum value to which a woman’s temperature drops during rest or sleep. Since it is measured rectally, you can also find the name rectal, which does not accurately reflect the essence. You need to know that basal temperature is individual for each woman and changes during the menstrual cycle.

Therefore, in order to be able to track any deviations from your normal basal temperature, you need to know the values ​​that correspond to the norm. Usually, all changes are monitored by those women who are trying to conceive a child, because by basal temperature you can quite accurately determine the moment of ovulation.

If a woman does not suffer from endometriosis, then the graph of changes in basal temperature is approximately as follows.

1. During menstruation, the basal temperature gradually decreases and by the end of the last day of discharge it can reach a value of 36 degrees.
2. The temperature remains at this value until the middle of the cycle.
3. During the maturation of the egg, the indicator increases and remains this way for 3 days. The basal temperature at this time is about 37–37.3 degrees.
4. After the egg is released, the temperature should rise a little more and reach a value of 37.5 degrees. This value lasts about 2 weeks.
5. Before the onset of menstruation, different women have temperatures ranging from 36.9–37 degrees.

It is necessary to pay attention that between the two phases of the cycle there must be a temperature jump of at least 0.4 degrees, as this indicates the normal functioning of the hormonal system.

Disturbances in the normal cycle of changes in basal temperature can indicate the onset of the disease much earlier than the appearance of other symptoms. Therefore, it is advisable for women at risk to constantly keep a diary with a graph of their indicators.

The disadvantage of this method for early diagnosis of uterine endometriosis is that to obtain reliable results it is necessary to carry out measurements over at least several months. And taking measurements every morning at the same time for at least 2-3 months in a row is quite difficult for a woman leading an active lifestyle.

Changes in basal temperature with endometriosis

There is practically no increase in general body temperature with endometriosis of the uterus. Only if at such stages of the disease, when the tissue has grown too much and causes inflammatory processes in the body. Can there be an elevated temperature with endometriosis in other cases? Maybe if the body of a woman with this disease is affected by some negative factors, such as solarium, prolonged exposure to the sun, excessive physical activity. In this case, the overall temperature can rise to 38 degrees or even more.

Changes in basal temperature with uterine endometriosis are usually cyclical and depend on the stage of the menstrual cycle.

1. 3–4 before the start of menstruation, a woman’s basal temperature decreases. In each case, this value will be individual, but on average at the beginning of menstruation it will be about 37 degrees.
2. During the onset of discharge, basal temperature also rises in healthy women. However, with endometriosis, the maximum value is much higher than normal and often exceeds 38 degrees.
3. After the end of menstruation, the basal temperature returns to normal, and then the cycle repeats again.

If you notice such jumps in your basal temperature, you should contact your gynecologist. After all, such a symptom can indicate both endometriosis of the uterus, pregnancy, and some kind of inflammatory process in the body.

Additional symptoms

The fact that the basal temperature begins to rise is not the only symptom by which one can suspect the presence of uterine endometriosis, since there is an increase in values ​​during pregnancy or other factors. Therefore, you should pay attention to the following symptoms.

• Bloody spotting that appears at unusual times in your cycle.
• Pain during menstruation or during sex.
• Unpleasant sensations in the pelvic area, which resemble a feeling of heaviness due to intestinal dysfunction.
• Disorders of the gastrointestinal tract or excretory system.
• Signs of general intoxication of the body.
• Inability to conceive a child.

A woman’s attentiveness to the processes occurring in her body will help to detect unpleasant symptoms in a timely manner.

Correct temperature measurement

In order for the temperature that increases with uterine endometriosis to be measured correctly, certain conditions must be met. This is important for obtaining reliable data and can facilitate diagnosis.

• For measurements, you need to use a well-functioning thermometer; it is better to check the accuracy of its readings in advance.
• Measurements must be taken every morning, including weekends, and preferably at the same time.
• Do not eat or drink any drinks before taking measurements.
• It is better to leave the thermometer on the bedside table in the evening, as unnecessary movements before measuring the temperature can distort the result. Therefore, it is necessary to exclude even unnecessary hand movements.
• A woman's night's sleep before the change should last at least 6 hours.
• Basal temperature can be measured rectally or vaginally. But you can select the measurement method only once, and continue in the future.
• The thermometer should be held for at least 10 minutes.

All obtained values ​​should be recorded in a notebook or notepad. This will help the treating gynecologist track all changes and make the correct diagnosis. If any condition was violated, then an appropriate entry should be made.

You should also know that there are factors that can influence basal temperature readings.

It is necessary to take into account their presence and report them to the gynecologist or note them in your diary.

• Chronic diseases and inflammatory processes.
• Taking certain medications.
• Change of climate or time zones.
• Smoking and drinking alcohol.
• Insomnia and lack of sleep.
• Variable work schedule, including night shifts.
• Stress.
• Overheating of the body.

What to do if your basal temperature starts to rise?

First of all, you should definitely visit a gynecologist and find the cause of such changes. In this case, the gynecologist will prescribe additional diagnostics and, if necessary, prescribe treatment. Treatment varies depending on the stage of endometriosis, symptoms that appear, and other factors. It happens that medication is enough for treatment, while in other cases surgical treatment is required.

During the entire course of treatment for endometriosis, you cannot use mud therapy, warm up the pelvic area using various methods, take a hot bath, or increase body temperature in other ways. All this can lead to complications, such as increased inflammatory processes occurring in the body.

If the basal temperature is unstable, or before the onset of menstruation the indicator decreases slightly, and during discharge it rises to 38 degrees or higher, then all this can signal endometriosis. Therefore, you should visit a gynecologist and undergo all the necessary examinations. After all, timely diagnosis and adequate treatment will help to significantly reduce possible complications from the disease.

Endometriosis is a chronic, slowly progressive disease. It occurs predominantly in women of reproductive age, and is often detected in teenage girls. The disease usually regresses during menopause. Treatment uses hormonal drugs that suppress the growth of lesions. Surgery is often performed.

High body temperature is not typical for endometriosis. This symptom is not pathognomonic and does not occur during the typical course of the disease. But sometimes women complain of periodic or constant increases in body temperature. In this article we will figure out why this happens.

Main symptoms of endometriosis

Endometriosis manifests itself with various symptoms:

• Menstrual irregularities occur with endometriosis of the uterus. Menstruation becomes heavy, prolonged and painful. Acyclic bleeding often occurs. Such symptoms can also occur with ovarian endometriosis - due to hormonal changes and proliferation of the mucous layer of the uterus;
• Chronic pelvic pain. The pain occurs a few days before menstruation and intensifies with the appearance of discharge. Over time, the pain becomes constant. The severity of pain may vary. Severe discomfort is typical for endometriosis of the uterosacral ligaments and pelvic peritoneum.

Constant pain in the lower abdomen is a characteristic sign of endometriosis.

Such symptoms are associated with changes in hormonal levels, an increase in the area of ​​the mucous layer of the uterus and the development of inflammation. The inflammatory process occurs when normal tissues are damaged by endometriotic heterotopias. But inflammation in endometriosis is aseptic, that is, it occurs without the participation of pathogenic and opportunistic microorganisms. Therefore, an increase in body temperature is not typical for this pathology.

It is important to know

An increase in body temperature is always a reason to consult a doctor. It is necessary to find the cause of this condition and select treatment.

Why does the temperature rise with endometriosis?

There are several situations in which an increase in body temperature is observed:

• Chronic pain syndrome. With a long course of the disease, a significant spread of heterotopias and severe tissue damage are observed. Adhesions form in the pelvic cavity. Body temperature rises – up to 37-37.3 °C. High (38 °C or more) temperature does not occur. The pain at this stage becomes constant and does not depend on the phase of the menstrual cycle;
• Infection of an ovarian cyst. Sometimes the tumors become inflamed. This usually happens against the background of current salpingoophoritis - inflammation of the ovaries and fallopian tubes, but sometimes doctors do not find an obvious cause of the complication. Body temperature rises to 37-38 °C and higher, severe pain appears in the lower abdomen - on one or both sides. This condition is dangerous due to the development of pelvic peritonitis. An urgent surgical operation is needed - removal of the cyst or the entire ovary;

With endometriosis, body temperature can be elevated against the background of other diseases, including inflammatory processes in the appendages.

• Associated inflammatory process. Sometimes endometriosis occurs against the background of another pathology – endometritis and salpingoophoritis. Chronic inflammation of the uterus and appendages is accompanied by an increase in body temperature to 37-37.5 °C. In an acute process - up to 38 °C and above. There are nagging pains in the lower abdomen, purulent or bloody discharge from the genital tract. Often this condition is accompanied by infertility or miscarriage;
• Somatic pathology. High body temperature may be associated with diseases of other organs. ARVI, flu, intestinal infection, exacerbation of chronic gastritis or cholecystitis - all this leads to the appearance of fever and chills. The cause of prolonged fever may be an autoimmune pathology - rheumatoid arthritis, systemic lupus erythematosus, etc. Infectious processes should not be ruled out - viral hepatitis, HIV infection, tuberculosis. A prolonged increase in temperature occurs in cancer.

What to do in case of high temperature

If your body temperature rises, you should consult a doctor and undergo an examination:

• General inspection. The doctor assesses the condition of the skin and mucous membranes, palpates the abdomen, and identifies concomitant complaints and chronic diseases. Based on the results of the survey and examination, makes a preliminary diagnosis and determines a diagnostic scheme;
• Gynecological examination. During a bimanual examination, the doctor assesses the condition of the uterus and appendages and can detect cysts, inflammatory conglomerates and other pathological processes;
• Body temperature control. You need to measure your temperature regularly - morning and evening, during the day - if necessary. It is important to track how and when the thermometer mark changes, whether taking antipyretic drugs is effective;
• General clinical study. General blood and urine tests and biochemical examination are prescribed. Other studies are carried out according to indications. So the doctor can identify signs of the inflammatory process and suggest its localization;
• Tests for infections. A blood test is prescribed for HIV, syphilis, and viral hepatitis. An examination is carried out for urogenital infections - gonorrhea, trichomoniasis, chlamydia, etc. A survey smear from the genital tract and bacteriological culture from the cervical canal are necessarily taken;

At elevated temperatures, the doctor will definitely take a smear for infectious diseases of the urogenital area.

• Blood test for hCG. A slight increase in body temperature is observed in the first trimester of pregnancy. If your period is late, you need to do a test or take a blood test;
• Blood test for tumor markers. Prescribed for endometrioid ovarian cyst. CA-125, CA-19-9 are increased in endometriosis. However, if there is a significant increase in tumor markers, a malignant tumor must be excluded;
• Ultrasound examination of the pelvis. During the examination, the doctor assesses the condition of the uterus and appendages, identifies foci of endometriosis, concomitant diseases and possible complications;
• Endometrial aspiration biopsy. Allows you to take a piece of the mucous layer of the uterus for histological examination and identify the inflammatory process;
• Computed and magnetic resonance imaging. Prescribed for unclear diagnosis, suspected tumors and other conditions;
• Diagnostic laparoscopy. Indicated for suspected complications of endometriosis - cyst infection, as well as for differential diagnosis with other pathological processes.

The scope of the examination is determined by the doctor. According to indications, consultations with other specialists are prescribed. Often, only after a thorough diagnosis can the cause be found and treatment selected.

On a note

At home, you can lower your body temperature with the help of non-steroidal anti-inflammatory drugs - paracetamol and ibuprofen. Temperatures above 38.5 °C should be reduced. But you shouldn’t self-medicate for long. If there is no improvement within three days, you should consult a doctor.

If the temperature rises above 38.5°C, then at home they usually resort to the use of antipyretic drugs.

Basal temperature and endometriosis: how indicators change

Basal temperature (BT) is the lowest temperature of the human body, measured after rest or sleep. It is detected in the rectum immediately after waking up, without getting out of bed, before any physical activity and breakfast. Normally, BT in women varies according to the phases of the cycle:

• The first phase of the cycle (follicular) is influenced by estrogens. This is the time of low BT – 36.1-36.4 °C;
• The day before ovulation, BT drops and then rises by 0.3-0.6 °C. Based on these changes, you can determine the date of release of the egg and calculate the time favorable for conceiving a child;
• After ovulation, BT remains high and stays at 36.7-37 °C until the end of the cycle. This is due to the influence of progesterone;
• Before the next menstruation, BT drops to 36.1-36.4 °C. If a woman is pregnant, the temperature remains high.

It is important to know

You need to measure your basal temperature strictly at the same time with the same thermometer. This is the only way to track temperature fluctuations and identify deviations.

Basal body temperature changes under stress, lack of sleep, physical activity, as well as against the background of acute and chronic diseases.

This is what a normal BT chart looks like:

This is the BT schedule during pregnancy:

With endometriosis, BT does not change. It remains low during the first phase of the cycle and rises during and after ovulation. But since women with endometriosis do not always ovulate, the basal temperature chart may remain monotonous. There will be no decrease or subsequent increase in BT - it will remain at the level of 36.2-36.8°C.

This is what the basal temperature chart looks like during anovulation:

An increase in basal temperature outside of pregnancy due to endometriosis is explained by the reasons mentioned above. This may be a concomitant inflammatory process or somatic pathology. The development of complications of endometriosis cannot be excluded. If your basal temperature constantly increases, you need to consult a doctor - undergo an examination and find the cause of this condition.

Useful video about inflammatory processes in the female reproductive system

What is a basal temperature chart and why is it needed?