Symptoms of adenomyosis

The main symptoms of adenomyosis include heavy menstrual flow, severe menstrual pain, irregular bleeding, and possible fertility difficulties. For the above symptoms, you should seek medical attention and treatment as soon as possible to prevent the disease from progressing. The following is a detailed analysis of possible symptoms and how to deal with them.

1 Severe menstrual pain:

The menstrual pain of adenomyosis may be significantly aggravated. Unlike ordinary dysmenorrhea, this pain is often persistent and may start a few days before menstruation and last throughout the menstrual period. It may even still hurt after the menstrual period ends. This is mainly because the endometrial tissue invades the myometrium, causing local inflammation and enlargement of the uterus. For this symptom, you can choose non-steroidal anti-inflammatory drugs such as ibuprofen to relieve pain, or use hormonal drugs such as levonorgestrel intrauterine contraceptive system or goserelin to relieve symptoms under the doctor's advice. Severe cases may need to consider surgical treatment, such as hysterectomy or lesion resection.

2. Excessive menstrual flow:

Patients with adenomyosis often experience excessive menstrual flow, which may even lead to secondary anemia. This is because the myometrium is affected by the invasion of the endometrium, which reduces its elasticity and makes it difficult to effectively contract and stop bleeding. For heavy menstrual flow, conservative treatments such as oral contraceptives and placement of a levonorgestrel intrauterine contraceptive system can be used to adjust hormone levels and reduce menstrual blood flow. If necessary, uterine artery embolization can be performed to reduce blood supply to the uterus, thereby alleviating symptoms.

3. Irregular vaginal bleeding:

Some patients also have irregular vaginal bleeding during the non-menstrual period, which is caused by abnormalities in the uterine wall caused by adenomyosis, resulting in increased bleeding. During treatment, the cause of bleeding should be confirmed by B-ultrasound or magnetic resonance imaging to exclude other diseases. In terms of treatment strategy, drug regulation can choose hormone therapy such as GnRH agonists to control the disease, and surgical treatment can be used for severe symptoms.

4Fertility-related issues:

Adenomyosis may affect fertility because the lesion causes an abnormal intrauterine environment, hindering embryo implantation or increasing the risk of miscarriage. For women who want to have children, treatment often focuses on preserving uterine function. Medical management is usually the first choice to control the disease, and then assisted reproductive technology, such as IVF, is selected according to personal needs and health conditions.

The characteristic symptoms of adenomyosis are prominent and may significantly affect the quality of life. It is recommended that women with related symptoms seek medical consultation as soon as possible, confirm the diagnosis through imaging examinations and other methods, and choose appropriate treatment methods under the guidance of a doctor to avoid the progression of the disease and cause greater impact on health and fertility.