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Adenomyosis - Symptom, Treatment And Causes

What is Adenomyosis?

Adenomyosis is a condition whereby the endometrium, which is the inner lining of the uterus, break through the myometrium, the muscle wall of the uterus. This condition creates lower abdominal pain, along with severe menstrual cramps, bloating before the menstrual period often leading to heavy bleeding. Adenomyosis can happen in one place inside the uterus or even happen throughout in the uterine sack.Though this condition is not life-threatening, but the frequent pain and heavy bleeding that occurs because of this illness, can have a benign negative impact on a women’s life.

What causes Adenomyosis?

Ademomyosis is a common ailment that often occurs in women who are in their middle age and have children. It is also believed that women who had uterine surgery in the past are also at a risk of developing this agonizing malady.Although, doctors are at a loss in finding out the real cause behind the development of this disease, nevertheless, it is believed that several hormones (like prolactin, estrogen, progesterone and follicle stimulating hormones) can trigger this disease.

In the past, the only way to diagnose this disease was by performing a hysteroscopy on the patient, to examine the uterine tissue after visualizing it under a microscope. Nowadays, with development in biomedical science, this disease can be diagnosed even without any surgery. So, in the modern times, using a transvaginal ultrasound or a MRI, doctors can view the condition of the patient’s uterus with the help of state-of-art imaging technology.

Treatment for Adenomyosis:

To begin with, doctors primarily take a physical examination of the patient’s uterus if the physician suspect adenomyosis. Women suffering from this condition often have an enlarged and tender uterus. Although just performing an ultrasound on the patient doesn’t definitely diagnose this disease, but it aids in ruling out other diseases, which has similar symptoms like adenomyosis, like uterine fibroids. Treatment for this disease depends a lot on the severity of this condition. Often mild symptoms of adenomyosis, are treated with over-the-counter pain medications and nonsteroidal anti-inflammatory drugs. Patients are also advised to use heating pads to ease their lower abdominal cramps.

For patients with severe conditions, hormone therapy is prescribed for the patients, which aids in controlling heavy and painful periods. Levonorgestrel-releasing IUD, GnRH analogs and aromatase inhibitors are often used for treating severe adenomyosis patients.

Endometrial ablation and uterine artery embolism are also done to adenomyosis patients, which calls for minimal invasive surgery.

However, it has been observed that for severe adenomyosis, hysterectomy (surgical removal of the uterus) is the only treatment that definitely cures this painful disease.

Treatable by medical professional Require medical diagnosis Lab test always required Chronic: can last for years or be lifelong
Chronic pelvic pain Heavy menstrual bleeding A 'bearing' down feeling Pressure on bladder Dragging sensation down thighs and legs Painful vaginal intercourse

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Popular Questions & Answers

Hello doctor,I am suffering from adenomyosis. Doctor has advised me for operation for the removal of uterus. So, I want to know that if I perform operation after 9 months then is there any problem? Or there are chances of any other problem. please help.

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Delaying operation for 9 months will not cause any problem ,but you will be suffering from pain (dysmenorrhea) and menorrhagia (increase bleeding) for 9 more months. You can go for mirena insertion for the time being.
1 person found this helpful

I want to clarify some doubt regarding cancer. One of My relative undergone to remove the Uterus. After that CT 125 was done.In Histopatholy report mentioned as Poorly differentiated carcinoma with signet cells metastatic to both ovaries showing tumour emboli in the myometrium , Uterus shows superficial adenomyosis with papillary endocervicitis .Bilateral fallopian tubes are unremarkable. For these case Which method/kind of treatment is best ?

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I am female aged 44 yrs, having being diagnosed as Adenomyosis on USG scan, my complaints are heavy menstrual flow on day 1.

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Hello, heavy menstrual flow on 1-3 days of menses is fairly normal unless it continues to 4-5th day of bleeding and adenomyosis has been the cause detected then you can actually opt for antifibrinolytics to reduce your flow. Please follow up.
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My wife is 46yrs old. She is suffering with Adenomyosis for which extra bleeding occurs during the period. Is there any home or any pathy treatment without operation?

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Dear as she is nearing to menopause, after ruling out contraindications, she can take combine oral contraceptive pill, or only progesterone pill or progesterone intrauterine device. One regular check up with full examination, blood pressure, liver...
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HI, Mam without sex how can I be pregnant? If some spot is seen in uterus through ultrasound what it can be.

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Some spot doesn’t mean pregnancy. Are your periods regular. Why did you undergo an ultrasound. I mean what’s the problems that you r facing right now Do urine pregnancy test or beta hCG blood test to find out about pregnancy.
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Table of Content

What is Adenomyosis?

What causes Adenomyosis?

Treatment for Adenomyosis:

Having issues? Consult a doctor for medical advice