Adenomyosis, uterine body - a disorder in which the uterine lining (endometrium) begins to grow into the muscle membrane uterine wall (myometrium). Adenomyosis can cause severe cramps during menstruation, pain in the lower abdomen, bloating before menstruation, and other problems. The disease can be localized in the body of the uterus - its average, the greatest part, or in other areas, and can affect the entire uterus entirely. Symptoms and methods for treating diseases in all these cases are the same.
Although adenomyosis uterine body is benign and not life-threatening violation of the patient due to their frequent pain and heavy bleeding may have a negative impact on quality of life.
Symptoms of adenomyosis
Some women have adenomyosis are asymptomatic and detected only during a routine pelvic exam. For others it can cause the following symptoms:
- Heavy and prolonged menstrual bleeding;
- Severe cramping and abdominal pain
Abdominal pain: Types and Symptoms
- The feeling of pressure in the abdomen;
Stage adenomyosis uterine body are determined on the basis of how deep in the endometrial cells penetrated myometrium.
- Stage 1 adenomyosis: the penetration of ectopic endometrial tissue in the inner layer of the myometrium.
- Stage 2 of adenomyosis: the penetration of ectopic endometrial tissue in the middle layer of the myometrium.
- Stage 3 adenomyosis: the penetration of ectopic endometrial tissue in the outer layer of the myometrium.
Who can develop adenomyosis
Adenomyosis, uterine body is a very common disease. Most often it is diagnosed in women of any age who have given birth to at least one child, and middle-aged women (including nulliparous women). Some experts believe that women who do any surgery on the uterus, an increased risk of adenomyosis.
Although the exact reason that begins to develop adenomyosis is unknown, it is believed that certain hormones - including estrogen
Estrogen - the key to bone health
Progesterone - norm and pathology
, Prolactin, and follicle stimulating hormone - can trigger this disorder.
Until recently, the only reliable way of diagnosing adenomyosis had a hysterectomy (surgical removal of the uterus), followed by the study of uterine tissue under a microscope. However, modern methods of medical imaging can detect adenomyosis and without surgery. Using magnetic resonance imaging, and intravaginal ultrasound, doctors can detect the characteristic of adenomyosis symptoms without surgery.
If you suspect that adenomyosis (usually grounds for suspicion becomes the story of the patient's presenting symptoms of) the first step in diagnosis is a pelvic examination. During the examination, the doctor can detect such features as increase of the uterus and its increased sensitivity. Using the device for intravaginal ultrasound the doctor has the ability to see the uterus, including - to assess the condition of the myometrium. Although the US does not allow confidently diagnose adenomyosis, it helps to rule out other disorders with similar symptoms.
Another technique that is sometimes used in the diagnosis of adenomyosis uterine body - sonogisterografiya. During the procedure, through a thin tube is introduced into the uterus of a saline solution, after which the doctor examines the state of the wall of the uterus.
Magnetic resonance imaging (MRI) can be used to confirm the diagnosis of adenomyosis in women who complain of abnormal uterine bleeding.
Because of the similarity of symptoms in patients with adenomyosis often diagnosed with uterine fibroids. However, these two diseases are not identical. Fibroids, in fact, are growths on the uterine wall, and adenomyosis - is anomalous germination of endometrial tissue in the myometrium. Only a correct diagnosis allows to choose the most appropriate method of treatment.
How to treat adenomyosis
Which method of treatment prescribed by a doctor adenomyosis, depends on the presence of symptoms, its degree, and on whether the patient is planning to have children in the future. When mild symptoms can be recommended intake of OTC analgesics and use of heating pads for pain relief. If symptoms are moderate or severe, is assigned to hormone therapy or invasive treatments.
- Anti-inflammatory drugs. Your doctor may prescribe nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve pain weak due to adenomyosis uterine body. Typically, patients are advised to start taking NSAIDs for one or two days before menstruation. They continue to make in the first few days of menstruation, when the pain and spasms from the lower abdomen, as a rule, are the strongest.
- Hormone therapy. Symptoms such as heavy menstrual bleeding and severe pain during menstruation can be controlled by hormones. Typically, patients administered levonorgestrel-releasing IUD, aromatase inhibitors and analogues of gonadotropin-releasing hormone.
- Uterine artery embolization - a minimally-invasive procedure in which with the help of special devices blocked blood flow to parts of the uterine wall, struck adenomyosis. These tiny devices are introduced through a thin flexible tube that is inserted into the vagina and through the cervix comes. Due to the limited blood flow in the uterine wall of the tumor begins to decrease in size.
- Endometrial ablation minimally invasive procedure designed to break down the walls of the inner lining of the uterus. It very effectively relieves symptoms of adenomyosis
Adenomyosis: Symptoms - what to expect from the body?
With the proviso that the endometrial tissue has not grown into the deeper layers of the myometrium.
Can adenomyosis lead to infertility?
Because adenomyosis often occurs simultaneously with endometriosis, it is difficult to say what role in the development of infertility plays it adenomyosis. It is found that endometriosis can cause infertility, some research suggests that adenomyosis may also contribute to the appearance of fertility problems.
Is it possible to completely cure adenomyosis?
The only known way to completely cure adenomyosis - is the surgical removal of the uterus. This treatment can be assigned to women who have adenomyosis causes very severe symptoms, and that in the future do not plan to have children.