What is the difference between uterine fibroids and adenomyosis?

What is the difference between uterine fibroids and adenomyosis?

1. Reflection

The prominent manifestations of uterine fibroids are heavy menstruation and irregular bleeding. The size of fibroids varies greatly, with large ones weighing tens of kilograms and small ones even showing dozens or hundreds of fibroids growing together.

The prominent manifestation of adenomyosis is secondary dysmenorrhea. With the increase of age, the pain will become more and more severe, and even affect normal life and work; the uterus also enlarges, but rarely exceeds the size of a 3-month pregnant uterus.

2. Assist viewing

Uterine fibroids and adenomyomas are similar in age of onset, manifestations and signs, making them difficult to distinguish. They often require auxiliary examinations for diagnosis, most commonly ultrasound examinations. In addition, vaginal ultrasound, Doppler ultrasound and other examinations can also be used to improve the accuracy of the distinction between the two. The ultrasound manifestations of the two are:

In uterine fibroids, the uterus is enlarged and deformed. The tumor is spherical and mostly hypoechoic. There is a boundary between the tumor and the muscle wall, and there are circular or semi-circular blood flow signals around the tumor.

In adenomyosis, the uterus enlarges, the myometrium thickens, and the posterior wall becomes more prominent, causing the endometrial line to shift forward. The lesion site is often isoechoic or slightly more echoic, and sometimes punctate low echoes can be seen. There is no obvious boundary between the lesion and the surrounding area.

How to maintain the uterus?

1. Maintain an optimistic attitude

Being in a good mood is very important. No one can move forward in an unstoppable manner. Pressure and setbacks exist everywhere, so we must adjust our mentality and face life with an optimistic attitude.

2. Adjust your diet

Women should eat more foods containing protein and vitamins. If the menstrual flow is heavy, they should eat more foods rich in iron to prevent iron deficiency anemia.

3. Actively treat endocrine disorders

Endocrine disorders caused by various reasons should be treated actively, as they will increase the risk of induction and development of adenomyosis. Unnecessary use of sex hormone drugs should be avoided. When treatment is necessary, medication should be taken as prescribed by the doctor.