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What is uterine adenomyosis and what are its symptoms?
مقاله تخصصی

What is uterine adenomyosis and what are its symptoms?

3 months ago
988 بازدید

Adenomyosis is a complication that leads to heavy and long periods, pain during sex, and infertility.... Currently, the cause of this disease is not exactly known.... But evidence shows that it usually resolves after menopause.... There are also various treatments for women who suffer from severe symptoms.... Stay with us until the end of this article from Health Magazine.. LLC Stay with us to learn more about adenomyosis know.

Table of contents

  • What is adenomyosis?
  • Adenomyosis symptoms
  • Adenomyosis complications
  • Adenomyosis cause
    • Disease risk factors
  • Adenomyosis diagnostic methods Physiological
    • .... Examination
    • 2.... Ultrasound
    • 3.... MRI (MRI)
  • Treatment of adenomyosis
    • 1.... Anti-inflammatory drugs
    • 2.... Treatments Hormonal
    • 3.... Endometrial ablation
    • 4.... Uterine artery embolization
    • 5.... Focused ultrasound surgery
    • 6.... Hysterectomy
  • Final words
  • Questions common

What is adenomyosis?

This disease occurs when the tissue of the uterus (endometrium) grows in its muscular wall. This condition causes the uterine wall to become thicker and disrupt the functioning of the blood vessels.

Researchers believe that adenomyosis is estrogen-dependent or hormone-sensitive and usually disappears after menopause (12 months after a person's last period). Menopause is when estrogen levels in the body decrease.

Learn more: The reason for bleeding ten days after period

Adenomyosis symptoms

Symptoms of this disease vary from mild to severe.. Even some women may not have symptoms... The most common symptoms are:

  • Severe or prolonged menstrual bleeding
  • Painful menstrual cramps
  • Blood clotting during menstrual bleeding
  • Pain during sex
  • Chronic hip pain
  • Infertility

Also, your uterus may be getting bigger....you may not be aware of it..but you will notice tenderness or pressure in your lower abdomen....

If menstrual bleeding is so heavy, prolonged, or painful that it interferes with your daily activities, see a gynecologist.

Complications of adenomyosis

This disease can affect the quality of life... Some people complain of excessive bleeding and pelvic pain that prevents them from enjoying normal activities such as sex.

Women with adenomyosis are more at risk of anemia due to blood loss. Chronic anemia can lead to fatigue, dizziness, and other health problems.

Blood loss due to adenomyosis may decrease iron levels in the body. Iron deficiency makes it difficult for the body to produce enough red blood cells to carry oxygen to various tissues.

In addition, it has been found to be associated with anxiety, depression and irritability.

Adenomyosis cause

The exact cause of this disease is unknown... However, there are various hypotheses about it, which include:

  • Invasive growth of endometrial cells into the muscle of the uterus (this may occur due to a cut in the uterus during surgery such as cesarean delivery or during normal uterine function.)
  • Inflammation of the uterus that occurs after childbirth (this may cause the cells lining the uterus to exceed their normal limits.)
  • Existence of extra tissue in the uterine wall that is present before birth and grows in adulthood
  • The presence of stem cells in the myometrium or the muscular wall of the uterus

Learn more: Fast home period pain relief

Disease risk factors

The following factors increase the possibility of contracting this disease:

  • birthday
  • Entering middle age (this disease occurs mostly in the 40s and 50s)
  • Use of tamoxifen (breast cancer drug)

The following factors may be associated with adenomyosis. But there is not enough scientific evidence about them:

  • history of uterine surgery (cesarean section, fibroid removal or dilation and curettage) History of depression or use of antidepressants
  • Smoking

Adenomyosis diagnosis methods

Some uterine problems such as fibroids, endometriosis, and endometrial polyps can cause signs and symptoms similar to adenomyosis, which may make it difficult to diagnose the disease. Therefore, after ruling out other possible causes, the gynecologist will conclude that you have adenomyosis.

Methods that help the doctor in the accurate diagnosis of the disease include the following:

1... Physical examination

A complete medical evaluation will help determine the best treatment plan... The doctor will first perform a physical examination to check the size of the uterus or its sensitivity to touch... The size of the uterus of many women with adenomyosis is 2 or 3 times the normal size.

Learn more: What is dysmenorrhea?

2.... Ultrasound

Transvaginal ultrasound helps the doctor to diagnose the disease while ruling out other possible causes.... In ultrasound, sound waves are used to produce moving images of the internal organs of the body.... In this method, the doctor covers the surface of the probe with a condom and a special gel.... Then he puts the probe inside the body to show the moving images on the monitor

..

Diagnosis of adenomyosis with ultrasound can be challenging.. For this reason, your doctor may recommend a more advanced imaging method.

3... MRI (MRI)

The imaging test of choice for diagnosing adenomyosis is an MRI scan.. In an MRI, radio waves are used to produce clear images of the body's internal organs.. In this procedure, the patient lies gently on a table and is moved into the scanner.. pacemaker, puncture, or metal splinter from a gunshot wound.

Treatment of adenomyosis

Women with mild forms of adenomyosis may not need medical treatment. But if the symptoms of the disease interfere with your daily activities, your doctor can suggest various treatment options. These options include the following:

1.... Anti-inflammatory drugs

One of the famous examples of this group is Ibuprofen.... This drug, while relieving severe cramps, can help reduce blood flow during menstruation..

Learn more: Normal thickness of the endometrium

2.... Hormonal treatments

The following medications help control the hormone estrogen, which may contribute to symptoms:

  • Gonadotropin-releasing hormone (GnRH) analogs such as leuprolide Oral contraceptives such as birth control pills Contraceptive products that contain only progesterone, such as the pill or intrauterine device (IUD)..

3... Endometrial ablation

This treatment involves techniques to remove or destroy the endometrium.. Ablation is an outpatient procedure with a short recovery time.. but may not work for everyone..

Learn more: Cervical Ulcer

4... Uterine artery embolization

This is a method that prevents blood supply to certain vessels in the affected area and thus causes the destruction of adenomyosis. Uterine artery embolization is usually recommended to treat another disease called uterine fibroids.

This treatment method is performed in the hospital and requires a one-night stay... Since uterine artery embolization is not very invasive, it does not cause scarring in the uterus.

Learn more: The postpartum period

5... Focused ultrasound surgery

In focused ultrasound surgery, high-intensity waves are used to generate heat and destroy target tissue.... Preliminary research has shown that this method is effective in relieving symptoms... However, more studies should be done on it.

Learn more: Breast cyst

6... Hysterectomy

Hysterectomy or surgical removal of the uterus is the only way to completely cure adenomyosis. Adenomyosis surgery through hysterectomy is considered a major intervention that can only be performed in severe cases and in women who do not intend to have children. Since the ovaries are not affected by this disease, they may remain in the body.

Endword

Adenomyosis is not dangerous, but it can interfere with your daily life... If you need guidance about this disease and its treatment methods, you can visit the website GCORP LLC and consult with the best specialist doctors including gynecologist online... Also, GCORP LLC provides you with an appointment. with the specialist of your choice through the online appointment system to refer to the gynecologist in person.

Frequently Asked Questions

What is the difference between adenomyosis and endometriosis?

In endometriosis, the inner lining of the uterus (endometrium) extends outside even the pelvic organs... but in adenomyosis, the endometrium penetrates the muscular wall of the uterus.

Is adenomyosis cancer?

No... it is a benign and non-cancerous disease.

What is the relationship between adenomyosis disease structure and pregnancy? It may lead to infertility.. It also increases the possibility of pregnancy complications.
What is the best diet for adenomyosis?

Consumption of fruits, vegetables, whole grains and foods containing omega-3 such as fish and walnuts and reducing the consumption of processed foods will help control the symptoms of the disease

Sources: Healthline, mayoclinic

Top doctors: Dr. Atiyeh Bahman Dr. Zahra Kohpai Dr. Sara Rovan Dr. Semiramis is alert

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