Adenomyosis Causes, Symptoms, Diagnosis and Treatment

Adenomyosis is a benign condition. It is the presence of endometrial tissue in the myometrium . This disease may coexist with external endometriosis in which endometrial implants are located outside the uterus. Here we introduce Adenomyosis Causes, Symptoms, Diagnosis and Treatment in detail.

Symptoms of Adenomyosis

Symptoms of Adenomyosis are as below for your reference.

  • No menstrual periods.
  • Bleeding between periods
  • Excessive menstrual bleeding; heavy or prolonged
  • Severe cramping or sharp, knife-like pain during menstruation (dysmenorrhea)
  • Menstrual cramps that last throughout your period and worsen as you get older
  • New onset of menstrual cramping
  • Passing blood clots during your period.
  • Painful menstruation
  • The uterus is often 2-3 times the normal size
  • Headache, discharge of milky nipple, hair loss, and increase in facial hair or vision changes.

What are the Causes of Adenomyosis?

  • Endometriosis
  • Estrogen imbalance
  • Fibroids
  • Mefanamic acid
  • Pelvic Inflammatory Disease

How to diagnose Adenomysis?

Adenomyosis is difficult to diagnose. A definitive diagnosis of adenomyosis can only be made from a microscopic examination of a hysterectomy specimen (which is not an option for many women). The diagnosis is often suggested by a combination of symptoms, such as heavy bleeding and painful periods, combined with a physical examination revealing an enlarged, boggy uterus.

Ultrasound can sometimes be suggestive of adenomyosis. MRI can also help diagnose adenomyosis.

Adenomyosis commonly co-exists with other gynecologic problems, such as endometriosis, fibroids and endometrial polyps.

Treatment of Adenomyosis

Treatment depends on causes of primary and secondary amenorrhea. Usually the only treatment is pain medication (analgesics). Most treatment attempts with hormones have been unsuccessful.

Hormone drugs.By controlling the menstrual cycle thru joint “estrogen-progestin” oral birth control or thru patches or vaginal rings containing hormones can lessen the pain and heavy bleeding linked with adenomyosis. Contraception which is progestin-only, such as an intrauterine device containing progestin or a birth control pill which is continuous-use often can lean to amenorrhea or the lack of menstrual periods and can offer relief.

Anti-inflammatory drugs.If you are nearing menopause, the physician may suggest you use anti-inflammatory drugs, such as Advil, Motrin as well as others to manage pain. Beginning anti-inflammatory medications 2 to 3 days before the beginning of your period and continuing to take it during the period, the amount of menstrual blood flow can be reduced as well as relieving the pain.

Hysterectomy. If the pain is very serious and menopause is some years off, the physician can recommend surgical removal the uterus. Removing the ovaries is not needed to control this condition.