What are the symptoms of adenomyosis and adenomyoma?

The main symptoms of adenomyosis and adenomyoma are menstrual abnormalities, unbearable menstrual pain, and infertility. These symptoms may vary in severity and require prompt medical evaluation based on the specific manifestations.

Adenomyosis is a benign disease caused by the invasion of endometrial glands and stroma into the myometrium. The main symptoms include abdominal pain during menstruation. The pain usually gradually intensifies from one or two days before menstruation and reaches a peak during menstruation. It is accompanied by increased menstrual flow and prolonged menstruation. Some patients may have dyspareunia or chronic pelvic pain. Uterine adenomyoma is a localized proliferation of adenomyotic nodules on the basis of adenomyosis. The symptoms are similar to those of adenomyosis, but the pain may be more localized and the enlargement of the uterus is usually more obvious. Some patients may not have obvious external symptoms, but infertility caused by the above diseases often makes them aware of health problems.

Adenomyosis is a benign disease caused by the invasion of endometrial glands and stroma into the myometrium. The main symptoms include abdominal pain during menstruation. The pain usually gradually intensifies from one or two days before menstruation and reaches a peak during menstruation. It is accompanied by increased menstrual flow and prolonged menstruation. Some patients may have dyspareunia or chronic pelvic pain. Uterine adenomyoma is a localized proliferation of adenomyotic nodules on the basis of adenomyosis. The symptoms are similar to those of adenomyosis, but the pain may be more localized and the enlargement of the uterus is usually more obvious. Some patients may not have obvious external symptoms, but infertility caused by the above diseases often makes them aware of health problems.

Treatments for adenomyosis include drug therapy, such as progesterone drugs (such as dienogest), GnRH agonists (goserelin), etc. These drugs can inhibit the activity of endometrial cells and relieve symptoms. For patients who are not effective in drug treatment or have fertility needs, physical therapy such as uterine artery embolization can be selected to reduce the blood supply to the lesion. Severe cases require surgical treatment. Adenomyomectomy can be selected while retaining the uterus. If childbearing has been completed and the symptoms are severe, hysterectomy is a radical method. Patients can usually supplement foods rich in iron and vitamin C, such as spinach, beef, citrus, etc., to prevent anemia caused by excessive menstruation. At the same time, it is recommended to have a regular lifestyle and avoid staying up late to reduce the interference of negative emotions on the endocrine system.