Symptoms, Causes and Treatment for Adenomyosis
huangyan Aug 21, 2023
Adenomyosis is also called the evil sister of Endometriosis. Its symptoms include:
Abdominal pressure and bloating
Peripheral nerve numbness or weakness, which can cause leg or bowel pain during periods
Pain upon sexual intercourse
Inflammation of the uterus
Painful bowel movement
Painful periods and cramps and pelvic pain
Bladder symptoms including uncomfortable urination, burning urination or blood in the urine
Heavy menstrual bleeding
Passing of blood clots during menstruation
Causes of Adenomyosis
The actual cause of Adenomyosis is uncertain, a lot more studies in the field is needed..
However, there are some theories which conclude the cause behind Adenomyosis, these are:
Abnormal Uterine Development
Invasive Growth of Foreign Tissues
Uterine Inflammation and Childbirth
Diagnosis of Adenomyosis
When the symptoms of Adenomyosis occur, a strict evaluation needs to be done.
Procedure diagnosis include:
Pelvic ultrasound
Pelvic exam revealing a large, soft or tender uterus
Hysteroscopy
Treatment of Adenomyosis
Anti-inflammatory medications
An example for such a medicine is Ibuprofen. Such medications can help to reduce blood flow during your period while also relieving severe pain. Medication should not be used if the person is pregnant and without consulting a doctor.
Hormonal treatments
Hormonal treatments consist of oral contraceptives or birth control pills, injections, intrauterine device, and GnRH-analogs such as Lupron (leuprolide)
This involves techniques to remove or destroy the endometrium. Although, this procedure might not be helpful for all cases as adenomyosis invades muscle more deeply.
This is a procedure in which high-intensity waves are employed to create heat and focus directly on the targeted tissues and destroy them. The heat is monitored using MRI images. However, more studies are needed to test its overall success.
Hysterectomy
This is the only way to completely cure this condition is to have a hysterectomy. This is a surgical procedure that involves complete removal of the uterus. This however is only used in severe cases.
Adenomyosis and Infertility
The relationship between Adenomyosis and infertility is and hence much studies in this in needed. However, women suffering from this condition suffer from Endometriosis which might cause infertility.
Whichever treatment is taken, that should be done under the proper supervision of a specialist doctor. Since we already understand, doctors know the best!
Adenomyosis alters the endometrial receptivity and gene expression and thus reduces the implantation chances i.e. pregnancy chances in a natural or ART cycle.
The old blood collected in the musculature of the uterus acts as toxin and prevents pregnancy.
There is progesterone hormone resistance in this condition ,so miscarriages are common.
They need higher doses of progesterone hormone after embryo transfer in IVF and also throughout pregnancy. It is also associated with pregnancy complications.
SOURCE : https://www.cloudninefertility.com/blog/symptoms-causes-and-treatment-for-adenomyosis
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