What are the early symptoms of adenomyosis?

Nowadays, many women choose surgical abortion when they have an unexpected pregnancy. After the abortion, improper surgical operation and other factors can easily cause some diseases. Adenomyosis is one of them. Therefore, to understand the early symptoms of adenomyosis, female friends need to learn and familiarize themselves with it in daily life so that they can receive treatment in the early stages of the disease.

1. Symptoms

(1) Menstrual disorders (40%-50%) are mainly manifested by prolonged menstruation and increased menstrual volume. Some patients may also experience spotting before and after menstruation. This is caused by the increase in uterine volume, the increase in the area of ​​the uterine cavity endometrium, and the influence of uterine muscle fiber contraction on the lesions within the uterine muscle wall. Severe patients may develop anemia.

(2) Dysmenorrhea (25%) is characterized by secondary progressive dysmenorrhea. It often begins one week before menstruation and is relieved when the menstrual period ends. This is because during menstruation, the ectopic endometrium in the myometrium becomes congested, swollen, and bleeds under the influence of ovarian hormones. At the same time, it increases the blood volume in the myometrium blood vessels, causing the thick myometrium to expand, causing severe dysmenorrhea.

(3) Some patients have no obvious symptoms. About 35% of patients have no obvious symptoms.

2. Physical signs

Gynecological examination shows that the uterus is often uniformly enlarged and spherical. Adenomyoma may appear as a hard nodule. The uterus is generally no larger than 12 weeks of pregnancy. Near the menstrual period, the uterus is tender; during the menstrual period, the uterus enlarges, becomes softer, and the tenderness is more obvious than usual; after the menstrual period, the uterus shrinks. This cyclical change in signs is one of the important bases for diagnosing this disease. The uterus is often adhered to the surrounding area, especially the posterior rectum, and has poor mobility. 15% to 40% have concomitant endometriosis, and about half of the patients have concomitant uterine fibroids.

Generally speaking, when women suffer from adenomyosis, they will have obvious symptoms such as dysmenorrhea and menstrual disorders. Moreover, when they seek medical examination, their physical signs will also change accordingly, such as signs of enlarged uterus. Therefore, female friends must look for the causes of any abnormalities in their bodies.