Gynecologic Pathology requires compliance with certain recommendations, including the terms of reference of sexuality. Is no exception and adenomyosis. Women suffering from this disease, care is compatible adenomyosis and sex. Compatible, and very much so. The only drawback in the presence of adenomyosis is pain during sexual intercourse, but it can be an inconvenience if not eliminate, or at least reduced.

Probably rarely meet a woman who at least once in his life did not suffer gynecological diseases. About a third of all female diseases account for endometriosis genitalia. Among endometriosis takes about 50% of adenomyosis.

The nature of pain during sexual intercourse when adenomyosis

Pain during intercourse is one of the main features of adenomyosis Symptoms of adenomyosis - characteristic and recognizable . The intensity of pain can vary, the pulling or aching pain in the abdomen, which are aggravated by the friction of movement committed partner to sharp and unbearable. Pain can sometimes be so strong that they cause a complete failure of sexual intimacy, or even an aversion to sex. In addition, the pain intensified and continued and at the end of sexual intercourse. In this case, the woman feels discomfort in the abdomen as from unsatisfied desire. If the pathological process involved in adenomyosis bladder and / or bowel, the pain is even more marked. Also, the occurrence of pain depends on the location of lesions of endometriosis, so the localization of adenomyosis on the rear wall of the uterus is characterized by more intense pain during sex than at other sites.

The diagnosis of adenomyosis confirmed cyclic spotting Spotting - it is important to rule out pathology   for two or three days before and a few days after menstruation, pain, that appear or are worse during menstruation, as well as discomfort during urination and defecation.

The mechanism of pain during sex when adenomyosis

As you know, the uterus and cervix have a fairly high pain threshold, but is due to the occurrence of pain during sex so that the wall of the uterus adenomyosis damaged during almost its entire area. Roughly speaking, the uterine wall in this disease is a sieve, as it is almost everywhere riddled with endometrioid passages that are sometimes interconnected uterus and pelvic area. In addition, it should be noted that endometriosis of the uterus is always accompanied by an inflammatory process, which only exacerbates the pain during intercourse (for example, if the burn splash hot water, the pain increased).

Also, the origin of the pain associated with adenomyosis Pain in adenomyosis - one of the main symptoms   while having sex can be explained by the presence of adhesions in the pelvis Adhesions in the pelvis: Symptoms and Treatment . Any inflammatory disease of the internal organs, including and adenomyosis (as in other and all other forms of endometriosis) is accompanied by the formation of adhesions. Adhesions - a connective tissue bands. These bands are formed when adenomyosis between the uterus and the parietal peritoneum, bladder and bowel, and between the uterus and its appendages. Adhesions securely fix the uterus in the pelvic area, make it fixed, so any movement during intercourse gives a woman the pain, since adhesions are stretched and do not allow the displaced uterus.

How to get rid or relieve pain during sex when adenomyosis

To ease the pain and bring pleasure to his woman, not the other way around, a lot depends on the partner. Sex, as is known, must begin with a prelude. The duration of "opening" stage depends largely on the speed and degree of excitation women. Do not forget that it is not sufficiently prepared to sex partner is necessary, regardless of the presence or absence of adenomyosis she will experience pain at the beginning of intercourse.

Also, the partner should be as gentle and caring with a woman, given her condition. In the presence of adenomyosis is not allowed rude, violent sexual acts, and indeed sex should only be by mutual desire. No less important has pose. If any posture gives a woman the pain during sexual intercourse, from her is flatly refused.

Anna Sozinova

Treatment adneksita long and is held in several stages. Get rid of acute adnexitis forever, longer periods of remission in chronic inflammation of the uterus Inflammation of the uterus - is one of the most common gynecological diseases   adequate and timely help to the prescribed therapy. Unfortunately, not all women are aware of the fact that the absence or not brought to the end of treatment is fraught with various complications and consequences. Inflammation often becomes chronic, ensures that the future, at least twice a year undergo prophylactic treatment. Adnexitis tricky by the fact that it is often the cause of infertility, ectopic pregnancy and miscarriage.

Treatment of acute adnexitis

Treatment of acute adnexitis integrated and is carried out only in a hospital. Patients were assigned a bed rest, creates a mental rest. The limited food and spicy food allergenic foods (chocolate, citrus fruits, eggs, sweets, mushrooms). Fluid intake is increased due to mineral waters, fruit drinks and juices. Products that cause bloating and constipation are contraindicated (beans, cabbage). On suprapubic applied warmer ice (analgesic and anti-inflammatory effect).

The backing for the treatment of acute adnexitis - appointment antiinflammatory and antibacterial therapy. The choice of antibiotics produced in view of the sensitivity of bacteria to them. The dose of antibiotics should provide most of their concentration in the inflammation. Apply fluoroquinolone antibiotics (ciprofloxacin, tsiprolet), cephalosporins (kefzol, cefazolin, ceftriaxone), aminoglycosides (gentamicin, amikacin), and others. Typically intramuscular administration of antibiotics, but in severe cases the use of intravenous infusion. In the presence or suspected anaerobic flora prescribe metronidazole tablets or intravenously (metrogil).

In severe intoxication (fever, weakness, malaise) conducted a massive infusion therapy brine (5% glucose, saline) and dextrans (reopoligljukin, polyglukin) in the amount of not less than 2-2, 5 liters per day.

Of great importance in the treatment of acute adnexitis are nonsteroidal anti-inflammatory drugs (indomethacin, ibuprofen, ketoprofen). These medicinal products are prescribed to suppress the synthesis of prostaglandins, which are the source of pain. Nonsteroidal anti-inflammatory drugs are administered orally in tablets.

Local treatment consists in introducing into the posterior vaginal fornix tampons How to use sanitary pad - basic precautions   Vishnevsky ointment and ichthyol ointment. With the aim of analgesic and improve blood circulation in the pelvis apply spasmolytics (papaverine, no-spa) and analgesics (ketorol, baralgin, spazgan).

If you have a tubo-ovarian piosalpinks and education combined with pelvioperitonitom (inflammation of the pelvic peritoneum) indicated surgery (laparoscopy or laparotomy). During the operation, removed pus formation, adhesions are cut and washed the abdominal cavity followed by introduction of a solution of antibiotics.

Treatment of chronic adnexitis

Principles of treatment of chronic adnexitis in the acute stage coincide with the activities carried out in the treatment of acute adnexitis (antibiotics, anti-inflammatory and pain medications, infusion therapy).

After calming down inflammation in the appendages is assigned therapy aimed at stimulation of the immune system (the injection of aloe Aloe - its amazing healing properties , Metiluratsil autohaemotherapy). An important role in the treatment of chronic adnexitis play physiotherapy (UV radiation, UHF, SMC, electrophoresis of drugs). Physiotherapy promotes the resorption of adhesions, reduced pain and normalization of menstrual function. It is also recommended to perform a pelvic massage, physical therapy and psychotherapy. A good effect in the treatment of chronic adnexitis have mud, paraffin treatment, bath and vaginal irrigation mineral waters. Patients with chronic adnexitis Chronic adnexitis: dangerous consequences   It recommends a spa treatment, but not before six months after the exacerbation.

Anna Sozinova