What to do if the enlarged uterus compresses the bladder due to adenomyosis

When adenomyosis causes the uterus to enlarge and compress the bladder, medication, surgery, and lifestyle adjustments can be used to relieve symptoms or cure the cause. The specific method should be selected according to the severity of the condition, and timely medical evaluation should be sought.

1 Cause analysis

Adenomyosis is a chronic disease caused by endometriosis to the myometrium, which leads to abnormal thickening or enlargement of the uterus. When the uterus is significantly enlarged, it will compress the surrounding organs, and the bladder is one of the most susceptible parts. Its cause is closely related to the following factors:

Genetic factors: A family history of adenomyosis or endometriosis may increase the risk of the disease.

Physiological factors: Excessive estrogen levels are one of the important pathogenic factors of this disease, which can lead to abnormal distribution and growth of the endometrium.

Chronic inflammation: The uterus is in an inflammatory state for a long time, which may further induce the occurrence and development of adenomyosis.

When the enlarged uterus presses on the bladder, it can cause symptoms such as frequent urination, urgency, and even difficulty urinating, which not only affects the quality of life but may also cause bladder function problems.

2. Countermeasures

Drug treatment: suitable for mild to moderate patients, aimed at controlling symptoms and delaying disease progression.

Progestin drugs: such as the levonorgestrel intrauterine contraceptive system Mirena, which relieve symptoms by inhibiting endometrial hyperplasia.

GnRH agonists: Such as leuprolide, can reduce estrogen levels in the body and temporarily relieve symptoms of adenomyosis.

Nonsteroidal anti-inflammatory drugs: Such as ibuprofen, to help relieve pain or inflammation.

Surgical treatment: For severe patients or women whose fertility needs have been fulfilled, the following methods can be selected:

Hysterectomy: A complete cure, but only suitable for patients who do not want to have children.

Adenomyomectomy: Removal of diseased tissue while preserving the uterus, suitable for women who want to have children.

High-intensity focused ultrasound (HIFU): A minimally invasive treatment used to reduce the size and pressure of uterine lesions.

Lifestyle adjustments: can be used as an auxiliary means to relieve discomfort.

Scientific diet: Eat more foods rich in anti-inflammatory ingredients, such as dark green vegetables and foods high in Omega-3 fatty acids such as fish.

Moderate exercise: Regular yoga practice may relieve stress and improve uterine health, but avoid high-intensity abdominal exercises.

3. Medical treatment and follow-up management

In the face of uterine enlargement and bladder compression symptoms caused by adenomyosis, you should go to the gynecology or urology department as soon as possible, and make a clear diagnosis through imaging examinations such as B-ultrasound and MRI. Under the guidance of the doctor, a comprehensive treatment plan should be formulated, and regular follow-up examinations should be conducted to monitor the progress of the disease.

Timely and individualized treatment is the key to improving complications of adenomyosis. If symptoms are severe, more aggressive treatment options should be given priority, and close communication with doctors should be maintained to ensure physical health and quality of life.