How to diagnose adenomyosis clinically

Adenomyosis is a common disease in women of childbearing age. Clinically, it mainly manifests as dysmenorrhea and increased menstrual flow, which seriously endangers women's physical and mental health. Let's take a look at: How to diagnose adenomyosis clinically?

1 Medical history diagnosis

Judging based on the patient's specific symptoms and signs, clinical statistics show that adenomyosis usually causes progressively worsening dysmenorrhea, and the pain can last for a period of time after menstruation. A small number of patients experience pain before and after menstruation, which is cyclical. Excessive menstruation is another major symptom of adenomyosis, which often leads to anemia. A small number of patients experience heavy bleeding, which is easily misdiagnosed as functional uterine bleeding. Young patients may be infertile.

2Ultrasound examination

Transvaginal ultrasound examination can clearly show the changes of uterine enlargement and uterine wall thickening, and the ultrasound of the lesion site is equal echo or slightly stronger echo, sometimes with point-like low echo. There is no obvious boundary between the lesion and the surrounding area.

3. Endoscopy

It includes hysteroscopy and laparoscopy, which can achieve the effect of direct visualization, showing the enlargement of the uterine cavity, sometimes abnormal glandular openings, and can exclude endometrial lesions.

4Gynecological examination

General adenomyosis can be diagnosed through gynecological examination. It can be observed that the uterus is uniformly enlarged and hardened, generally not exceeding the size of 12 weeks of pregnancy. Otherwise, it may be combined with uterine fibroids. If it is adenomyosis, it can also show asymmetrical enlargement. When combined with endometriosis or fibroids, corresponding signs may appear.

5Hysterography

The myometrium can be observed through iodized oil contrast, with a positive rate of about 20%. Recently, hydrogen peroxide acoustic contrast has been used, which is believed to significantly increase the positive rate of diagnosis.

Here we remind all female patients to go to the hospital for examination and treatment in time to avoid worsening of the disease and more serious consequences.