What are the symptoms of adenomyosis?

What are the symptoms of adenomyosis?

1. The endometrium refers to the development of the myometrium. As menstrual blood accumulates in the myometrium, it causes myometrial fibrosis, making the female uterus harder and harder, stimulating the proliferation of surrounding muscle cells, and leading to adenomyosis.

2. Menstrual disorders: The occurrence of adenomyosis will also change the patient's menstruation, such as increased menstrual volume, prolonged menstruation, etc. These are manifestations of adenomyosis. A small number of patients will also experience anemia symptoms in the later stages.

3. Dysmenorrhea: This is the main symptom of adenomyosis. 80% of patients have secondary dysmenorrhea and aggravation. Women also have lower abdominal pain and back pain.

4. Infertility: About 40% of female friends will suffer from infertility due to exudation or adhesion at the lesion site.

5. Tenderness: During the examination of women, it can be observed that adenomyosis is growing slowly and there will be tenderness. Usually the normal size of the uterus will be smaller than the size of a normal woman with adenomyosis.

Adenomyosis can be divided into conservative treatment and surgical treatment. The specific methods are as follows:

1. For young patients with mild dysmenorrhea, diffuse adenomyosis is usually treated with medication, such as general anti-inflammatory analgesics. If these are ineffective, short-term oral contraceptives, such as fefulong or mifepristone, can be used.

2. Mirena IUD treatment is suitable for diffuse adenomyosis with a uterine size not exceeding 10 weeks, and can significantly improve dysmenorrhea and increased menstrual volume.

3. Uterine adenomyomectomy is suitable for localized adenomyosis, i.e. uterine adenomyoma, which is ineffective with drug treatment or has a significant increase in menstrual volume. Generally speaking, laparoscopic surgery is appropriate, but recurrence may occur after surgery. I have performed 120 such operations. At present, follow-up dysmenorrhea and menstrual volume have been significantly improved. The earliest patient had no recurrence within two years after surgery. Since this operation has too high technical requirements for the surgeon's laparoscopy, those who do not meet the conditions can choose open surgery to remove adenomyoma.