How to diagnose adenomyosis

How to diagnose adenomyosis?

1. Ultrasound examination: The uterus is enlarged, the myometrium is thickened, and the posterior wall is more obvious, causing the endometrial line to move forward. Compared with the normal myometrium, the lesion site is usually isoechoic or slightly more echogenic. Sometimes point-like hypoechoic areas can be seen, and there is no obvious boundary between the lesion and the surrounding area. Vaginal ultrasound examination can improve the positive rate and accuracy of diagnosis. Hysterography: In the past, iodized oil was inserted into the myometrium, and the positive rate was about 20%. Later, some people used hydrogen peroxide solution for acoustic contrast, believing that it could increase the positive rate.

2. Endoscopic examination: Laparoscopic examination shows that the uterus is uniformly enlarged, the anterior-posterior diameter is more obvious, the uterus is hard, gray or dark purple, and there are some serous bubbles on the surface. Sometimes purple and blue nodules will protrude from the serous surface.

3. CA125 test: CA125 comes from the endometrium. In vitro experiments have found that endometrial cells can release CA125. The concentration of CA125 in endometrial leaching fluid is high. Kijima detected that the concentration of CA endometrial glandular epithelial cells in endometrial glands of adenomyosis was higher than normal. The diagnostic standard is 35U/ml. Halila adenomyosis cannot be diagnosed with the same standard. CA has certain value in monitoring the efficacy.