Does adenomyosis cause endometrial thickening?

Endometrial hyperplasia is the proliferation of endometrial glands or interstitial tissues caused by an increase in endogenous or exogenous estrogen. The main clinical manifestation is functional uterine bleeding, which can occur in women of childbearing age and menopausal women. So will adenomyosis cause endometrial thickening? In the past, adenomyosis mostly occurred in women over 40 years old, but in recent years it has gradually become younger, which may be related to the increase in intrauterine surgeries such as cesarean sections and abortions. The symptoms of the disease are as follows:

1. Menstrual disorders in 40% to 50% of cases are mainly manifested by prolonged menstruation and increased menstrual volume. Some patients may also experience spotting before and after menstruation, and severe cases may lead to anemia.

2. Dysmenorrhea 25% is characterized by secondary progressive dysmenorrhea. It usually occurs one week before menstruation and is relieved at the end of menstruation. Taking painkillers can relieve dysmenorrhea in the early stage, but as the disease progresses, the dose of painkillers required for dysmenorrhea increases significantly, making it unbearable for patients.

3 The other approximately 35% of patients have no obvious symptoms.

4 Gynecological examination shows that the uterus is usually spherical and uniformly enlarged, and adenomyoma may appear as a hard nodule. The uterus generally does not exceed 12 weeks of gestation. The uterus is tender near the menstrual period; during menstruation, the uterus is enlarged, soft, and tenderness is more obvious than usual; after menstruation, the uterus shrinks. The uterus often adheres to the surrounding rectum, especially the back rectum, and has poor mobility. Endometriosis is combined in 15% to 40%, and about half of the patients have uterine fibroids.

Judging from the symptoms of adenomyosis, it does not cause endometrial thickening, so it is difficult to say whether adenomyosis will cause endometrial thickening. Patients can consult a doctor for details. I hope these contents can help you.