How to treat adenomyosis with uterine enlargement

summary

Many diseases in women's life are related to the reproductive system, such as ovarian diseases such as ovarian tumor, premature ovarian failure, uterine diseases such as hysteromyoma, endometriosis and so on. Among them, adenomyosis in endometriosis brings great trouble, because in addition to the progressive dysmenorrhea in the body, it is often accompanied by the enlargement of the uterus. On the one hand, it brings psychological panic, on the other hand, it also brings difficulties for the differential diagnosis, and in the treatment, it is far less sensitive to hormones than endometriosis, so drug treatment The therapeutic effect is limited, so I will elaborate on it.

How to treat adenomyosis with uterine enlargement

First: adenomyosis refers to the invasion of endometrial glands caused by the myometrium, its occurrence is related to multiple pregnancies, abortions and other operations that damage the endometrium. Its main clinical manifestation is the dysmenorrhea of excessive menstruation, prolonged menstruation and progressive aggravation. This kind of dysmenorrhea usually appears one week before menstruation. Gynecological examination can find the uterus enlargement and tenderness, which can be uniform or limited, but the enlargement degree is usually not more than the size of the third month of pregnancy.

Second: because the endometrium has the performance of periodic stripping, so the above performance is cyclical, and the growth of endometrium depends on hormone, so in the treatment can take drug treatment, such as contraceptives or progesterone, mild symptoms can take some anti-inflammatory drugs to control pain. In addition, adenomyosis is hormone dependent, so postmenopausal symptoms disappear.

Third: for those with severe symptoms, surgery can be selected. If they have fertility requirements and are in good health, surgery can be performed to remove the lesions; if they have no fertility requirements or drug treatment is ineffective, total hysterectomy can be performed. In addition, for severe dysmenorrhea, laparoscopic nerve resection can be performed.

matters needing attention

Adenomyosis with uterine enlargement is the uterus usually has tenderness, the volume does not exceed the size of 3 months of gestation, and most of the time uniform enlargement, according to this can be distinguished from uterine fibroids. Moreover, the treatment of adenomyosis is based on the degree of the disease to choose, drug treatment is often a high recurrence rate.