Common symptoms of adenomyosis

Common symptoms of adenomyosis include severe menstrual cramps, prolonged menstruation, increased menstrual flow, and long-term pelvic pain. If you experience these symptoms, you should seek medical attention as soon as possible to get a clear diagnosis and take appropriate measures. Symptoms can be effectively relieved through medication, surgery, or lifestyle adjustments.

1. Dysmenorrhea: The most common symptom of adenomyosis is dysmenorrhea, which is usually severe and progressive. The cause of dysmenorrhea is that the endometrium invades the myometrium, causing inflammation and irritation of the nerves around the lesions, which aggravates the pain. Dysmenorrhea can be relieved by using nonsteroidal anti-inflammatory drugs such as ibuprofen and hormonal drugs such as GnRH agonists. Severe cases may require surgery.

2. Prolonged menstruation or menorrhagia: Women with adenomyosis often have prolonged menstruation or significantly increased menstrual volume. This is because the endometrium invades the myometrium, increasing the area of ​​bleeding and may be accompanied by local inflammation. Hemostatic drugs such as Anloxue, oral contraceptives, or intrauterine devices such as rings that release high doses of levonorgestrel can be used to regulate menstruation. If the above methods are ineffective, hysterectomy can also be considered.

3. Long-term pelvic pain: In addition to the menstrual period, some patients will experience non-periodic pelvic pain, which may be related to inflammation of the adenomyosis lesion and compression of surrounding tissues by the enlarged uterus. In this case, painkillers, physical therapy such as hot compresses or hormone therapy can be used to relieve the pain, and minimally invasive surgery such as adenomyosis lesion resection can be performed if necessary.

4. Fertility issues: Adenomyosis may increase the risk of infertility, which is mainly related to abnormal uterine morphology, endometrial and myometrial lesions. In this regard, reproductive assisted technologies such as in vitro fertilization and preoperative treatment of uterine lesions can be used to improve the success rate of pregnancy.

If you frequently experience the above symptoms, please seek medical attention immediately. Early intervention usually leads to better relief. In daily life, maintaining a regular schedule, eating a healthy diet, and exercising appropriately can also help improve uterine health and relieve adenomyosis symptoms.