What are the symptoms of severe adenomyosis?

What are the symptoms of severe adenomyosis?

Severe adenomyosis not only makes women feel very painful, but also causes many complications, so it should be treated early.

1. Dysmenorrhea.

Dysmenorrhea is the main symptom of adenomyosis. The characteristics of dysmenorrhea are secondary dysmenorrhea with progressive aggravation. Before or during menstruation, due to congestion, edema and bleeding of the endometrial islands, the pressure in the small cysts of menstrual blood retention in the dense muscle layer increases sharply, stimulating the surrounding smooth muscles to produce spasmodic contractions, thus causing abdominal pain. The degree of dysmenorrhea is related to the depth of endometrial infiltration into the muscle layer. Among patients with grade I, only 4.3% have dysmenorrhea, while among patients with grade III, it can be as high as 83.3%.

2. Menstrual disorders.

Menstrual disorders are mainly manifested by increased menstrual flow and prolonged menstruation. The reason for increased menstrual flow is that the area of ​​the endometrium increases accordingly due to the enlargement of the uterus; at the same time, the infiltration of the endometrium and the proliferation of fibromuscular bundles interfere with the normal contraction and hemostasis function of the myometrium. It is reported that the wider the range of myometrium infiltration, the higher the incidence of increased menstrual flow. Some patients with uterine fibroids or dysfunctional uterine bleeding may also show increased menstrual flow and prolonged menstruation. A small number of patients with menstrual disorders may show vaginal spotting before and after menstruation, which may be caused by the leakage of menstrual blood retained in the cystic cavity, which is connected to the uterine cavity in the myometrium. It may also be due to endometrial polyps.

3 physical signs.

The uterus is uniformly enlarged, with a soft and hard texture and may be tender. The enlargement of the uterus is generally the size of a two-month pregnancy, and rarely exceeds the third month of pregnancy. A few uterine surfaces are irregular and have nodular protrusions, which may be caused by localized adenomyosis or uterine fibroids. During the menstrual period, due to congestion, edema and bleeding of the lesions, the uterus may enlarge, become soft, and be tender or more tender than usual. This change in signs that occurs with the menstrual cycle is of special significance for the diagnosis of this disease.