What to do if there is fluid accumulation in the uterine rectal fossa due to adenomyosis

Adenomyosis, uterine rectal fossa fluid accumulation. Many patients want to ask what this means? Then what should I do if I have adenomyosis and uterine rectal fossa fluid accumulation? The editor will give a brief introduction here.

Adenomyosis is a benign disease caused by the invasion of the endometrium into the myometrium. Adenomyosis with a small amount of fluid accumulation in the rectouterine fossa cannot be treated, but severe cases cannot be delayed.

Pathological changes The lesion is a mixture of thick, interlaced muscle fiber bands and fibrous bands, including dark red hemorrhagic spots or communities. Rarely, polypoid endometrium can protrude through the serosa, and tissue sections can reveal endometrial glands and stroma.

Clinical manifestations Secondary dysmenorrhea occurs in elderly women, that is, when they are nearly 40 years old, dysmenorrhea gradually worsens, often with cramps, and unable to carry out daily work. Dysmenorrhea is caused by edema and bleeding of the ectopic endometrium during menstruation and stimulation of spasmodic contraction of the muscle wall. Increased menstrual volume, prolonged menstruation, and bleeding before and after menstruation in a few cases are due to increased uterine volume, increased endometrial area of ​​the uterine cavity, and ectopic endometrium between the uterine muscle walls affecting the contraction of uterine muscle fibers.

Treatment If the patient is young and the symptoms are not severe, observation and symptomatic treatment, such as progesterone, androgen, cotton phenol, etc., can be performed. If the symptoms are severe or there is no need to retain fertility, hysterectomy can be performed to preserve the ovaries as much as possible. If combined with pelvic endometriosis, the lesions should be removed as much as possible to maintain ovarian function and allow the patient to enter menopause naturally. Those who are required to give birth should use hormone therapy for 6 to 12 months, hoping to conceive in the short term. If found during surgical examination, adenomyosis should be removed and the uterus should be preserved.

Uterine rectal fossa effusion is pelvic effusion, which can cause backache, abdominal pain, abnormal vaginal discharge, etc. It can be diagnosed as pelvic inflammatory disease. Please seek timely treatment.