Symptoms of adenomyosis with adenomyoma

summary

Adenomyosis is a diffuse or localized disease caused by the invasion of endometrial glands and stroma into the myometrium. Like endometriosis, it is a common and difficult gynecological disease. Adenomyosis often occurs in multiparous women aged 30-50, but it can also be seen in young women who have not given birth? Let's talk about it

Symptoms of adenomyosis with adenomyoma

Menstrual disorders (40% - 50%) are mainly characterized by prolonged menstruation and increased menstrual volume. Some patients may also have bleeding before and after menstruation. Severe patients can lead to anemia. About 35% of the other patients had no obvious symptoms.

Dysmenorrhea (25%) is characterized by secondary progressive dysmenorrhea. Often in menstruation before a week began to appear, when the end of menstrual dysmenorrhea is relieved. In the early stage of dysmenorrhea, taking analgesic drugs can alleviate it, but with the progress of the disease, the dosage of analgesic drugs needed for dysmenorrhea increases significantly, which makes the patients intolerable.

In gynecological examination, the uterus is often evenly enlarged and spherical, and adenomyoma can be shown as a hard nodule. The uterus is generally no larger than 12 weeks of gestation. Near menstruation, the uterus has tenderness; During menstruation, the uterus is enlarged, the texture becomes soft, and the tenderness is more obvious than usual; After menstruation, the uterus shrinks. The uterus often adheres to the surrounding rectum, especially the posterior rectum. 15% - 40% of the patients were complicated with endometriosis, and about half of them were complicated with hysteromyoma.

matters needing attention

Selective uterine artery embolization can also be used as one of the treatment options for adenomyosis. The mechanism of action is: ectopic endometrial necrosis, reduced secretion of prostaglandins, relieve dysmenorrhea, reduce menstrual volume, reduce the recurrence rate; The establishment of collateral circulation in eutopic endometrium can be restored by the gradual growth of basal layer. But uterine artery embolization can affect the blood supply of uterus and ovary, which has adverse effect on pregnancy. It may lead to infertility, abortion, premature birth and increase the rate of cesarean section.