Adenomyosis - Causes, Symptom, Treatment of Adenomyosis and pregnancy
What is Adenomyosis?
Adenomyosis means 'gland within the muscle'. In this condition of Adenomyosis, fragments of the glandular lining (endometrium) of the uterus penetrate and grow between the muscle fibres of its wall. Adenomyosis is uterine thickening that occurs when endometrial tissue, which normally lines the uterus, extends into the fibrous and muscular tissue of the uterus. The Adenomyosis condition is really ENDOMETRIOSIS of the uterine wall, and many accompany endometriosis elsewhere in the pelvis.
Adenomyosis more often occurs in the posterior wall of the uterus.
Adenomyosis is the penetration and growth of endometrial tissue from the uterine lining into the myometrium (uterine muscle).
Patterns of adenomyosis as recognized by MRI seem to either be diffusely spread throughout the uterus (about 66%) or focal lesions (33%) that only occur in one or two places.
Most commonly adenomyosis is mistaken for another common condition, uterine fibroids.
Symptom of Adenomyosis
Adenomyosis is most common in women over 35. Symptoms arise because the endometrium within the muscles undergoes the same changes during the menstrual cycle as the uterine lining does and bleeds during menstruation. Symtopms include - Periods become heavier and more prolonged, and are often associated with a dull ache and a feeling of pressure in the pelvis. The uterus becomes enlarged and softer, and may be tender. Adenomyosis may be present and cause no symptoms.
The symptoms of Adenomyosis are
- heavy menstrual bleeding and increasing cramps
- abnormal uterine bleeding
- pelvic pain
- increased urinary frequency
No woman can predict what symptoms she will experience, or how severely. Therefore, the management of Adenomyosis needs to be as personalized as the symptoms themselves.
As a symptom of this condition, pain may be present any time during the cycle and not only during the period.
Diagnosis and Tests of Adenomyosis
Pelvic examination may reveal an enlarged, slightly softened uterus, a uterine mass, or uterine tenderness.
Causes of Adenomyosis
The most rare causes of Adenomyosis are:
- child birth
- pregnancy terminations
- Cesarean sections
- and and even tubal ligations.
Treatment (Prevention) of Adenomyosis
The treatment of Adenomyosis is the same as for andometriosis elsewhere in the pelvis, but unfortunately the response to hormonesis generally not as good. For women who do not want more children, hysterectomy is usually the best solution.
The best treatment of adenomyosis surgical removal of the entire uterus.Other common treatment are as follows:
- a well- ordered hygienic mode of living
- a nutritious and bland diet
- adequate mental and physical rest
- daily exercise , agreeable, occupation
- fresh air
- regular hours of eating and sleeping
Adenomyosis and Pregnancy
Pregnancy produces large amounts of Natural Progesterone and usually makes adenomyosis better. In theory, adenomyosis may present several areas of increased risk to a pregnancy. These would include premature labor, abruptio placenta, and c-section.
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