Unfortunately, women's health is very fragile, especially as it bore down on the pile of obligations: a visit to the work, raising children, caring for the house. One of the female "sores" is adenomyosis. Adenomyosis symptoms so characteristic that in most cases, a woman can assume at the presence of the disease on their own.

In addition to expressing discomfort, adenomyosis or internal endometriosis is fraught with complications and a lot of the most dangerous and difficult of which is infertility. Infertility in the adenomyosis is very difficult to treat and sometimes even conducting in vitro fertilization has no effect.

Symptoms of adenomyosis

Symptoms, which can be described internal endometriosis of the uterus, as follows:

• Menstrual irregularities

Patognomichnym symptomatic adenomyosis Adenomyosis: Symptoms - what to expect from the body?   It is a violation of the menstrual cycle. The latter becomes shorter, that is, intervals between periods are reduced, and themselves menstruation lengthened, the number of menstrual flow increases.

• Spotting

Perhaps the most characteristic feature of internal endometriosis are spotting that appear in two or three days before menstruation and continued for several days after their completion.

• Uterine bleeding

In many patients with adenomyosis uterine bleeding observed in the middle of the menstrual cycle, which require surgical intervention (treatment and diagnostic curettage of the uterus).

• Algomenoreya

No less characteristic feature of internal endometriosis is algomenoreya Algomenoreya - with age and can not pass   or pain during menstruation. Pains appear on the eve of the monthly, by type of premenstrual syndrome, and with the onset of menstrual pain intensifies. The nature of pain is different, they can be aching or pulling type and sometimes pain patients compared to stroke dagger (stabbing pain). After the end of the monthly decrease pain, but discomfort in the abdomen remains. It is significant that with each successive monthly pain intensifies.

• Irradiation of pain

Characterized by pain radiating. For example, with the defeat of the isthmus of the uterus, give pain in the rectum or vagina, and at the location of the pathological process in the right or left corner of the mother, the pain radiating to the right or left iliac region.

• Dyspareunia

Dyspareunia or pain during sexual intercourse also refers to one of the characteristic symptoms of adenomyosis. Often, pain during sex so pronounced, making it impossible to conduct a sexual life, or even disgusted her. After intercourse stored aching pain in the abdomen Abdominal pain: when to sound the alarm?   during few hours.

• Anemia

Regular uterine bleeding, abundant and regular monthly spotting leads to anemizatsii patient. In general blood test reduced the number of red blood cells and hemoglobin, which is responsible for carrying oxygen. As a result, there are characteristic signs of anemia: weakness, constant drowsiness, headaches and dizziness. Patients on the background of anemia reduces blood pressure, heart rate increases, there is a marble pallor.

• The pelvic adhesive disease

Adenomyosis, like any other form of endometriosis, accompanied by the formation of adhesions in the pelvis. Adhesions reliably fix the uterus, without allowing it to shift, which manifests the appearance and / or amplification of pain with any physical activity, for example, when lifting heavy loads.

• Associated symptoms

With involvement of adjacent organs, which is characteristic of severe adenomyosis, there are complaints of frequent urination (loss of bladder) and intestinal problems (constipation, diarrhea).

• Barrenness

As noted above, adenomyosis is almost always characterized by infertility and / or spontaneous abortion.

• Palpation of the uterus

During the pelvic exam Gynecological examination: an important component of women's health   It determines the increase, dense globular uterus, which is not shifted (due to adhesions). When nodular adenomyosis in the uterus palpable multiple dense nodes of various sizes.

Anna Sozinova

Adenomyosis of 1 degree - is the very beginning of the disease, when the lining of the uterus (the endometrium) is just beginning to penetrate into her muscle sheath - myometrium. This condition is often asymptomatic and adenomyosis of 1 degree is a random finding during the test on another occasion.

Adenomyosis of 1 degree - it begins

It all starts with hormonal changes - increase the blood levels of female sex hormones estrogen. Under the influence of estrogen in the first half of the menstrual cycle, the endometrium grows. And since a lot of estrogen, the first half of the menstrual cycle (and hence the entire cycle) is elongated.

When the hormonal support is terminated, the functional layer of the endometrium is rejected, accompanied by menstrual bleeding. If you had a lot of estrogen in the blood of all time, menstrual bleeding will be very strong, but if estrogen slowly stood, but long-term, then menstruation will not be as plentiful, but the long-term.

Individual cells of the functional layer of the endometrium penetrate the basal layer of the endometrium (the layer is not rejected during the month and is the source of the restoration of the functional layer during the next menstrual cycle) and introduced into the myometrium. Why is this still not precisely determined, it is believed that there is a genetic or inborn permeability of the basal layer of the endometrium and increase intrauterine pressure due to violation of the outflow of menstrual blood.

In the myometrium epithelial cells proliferate under the influence of cyclical estrogen. The process of engraftment of foreign cells in the myometrium would be impossible without immunity disorders.

When adenmioze 1 degree affects the inner layers of the myometrium at a depth corresponding to the magnitude of the field of view at low magnification, i.e. endometrium just beginning to penetrate the myometrium.

Adenomyosis can be diffuse and nodular. In diffuse adenomyosis Diffuse adenomyosis - common disease of women   endometrial cells are evenly distributed in the myometrium and the uterus with time acquires a spherical shape. But one degree uterus may be of conventional shape and dimension. Nodal (focal) form of adenomyosis - a cluster endometrioiznoy tissue in one certain place as ozhnogo or more nodes. Sometimes there is a diffuse nodular form of adenomyosis.

As shown

Most often adenomyosis of 1 degree asymptomatic woman and learns about its presence by chance during examination for another reason. However, quite often observed, and the first manifestation of adenomyosis. The fact that the disease develops in the secretion of large amounts of estrogen by the ovaries - hyperestrogenism. A hyperestrogenia often accompanied by a lengthening of the menstrual cycle, followed by prolonged heavy menstrual period. Such changes of the menstrual cycle should alert a woman to become an occasion to refer to a gynecologist.

Typical for adenomyosis lower abdominal pain Abdominal pain: when to sound the alarm?   when adenomyosis Adenomyosis - avoid constant stress   1 degree usually does not happen when they start, you are not as strong, and most women do not give them value.

What can contribute to the emergence of the first priznakoa adenomyosis

Adenomyosis - a disease that is very common in many women, but not always it somehow manifests itself. Usually women will know about it by chance at a normal lifestyle symptoms may not appear ever. Facilitate the transition asymptomatic adenomyosis in the progressive course with the appearance of the characteristic symptoms of a number of predisposing factors.

Such factors include artificial abortion, obstructed labor, uterine surgery, gynecological manipulations in the uterus, chronic inflammatory processes in the genital area, severe physical and psychological stress, stress, toxicity and so on.

As revealed adenomyosis of 1 degree

Sometimes the first manifestation of adenomyosis can be detected during ultrasound (US). When detecting adenomyosis women spend a full examination, the purpose of which is to identify the extent of adenomyosis, and the identification of endometriosis Endometriosis - a serious problem with serious consequences   Other genitals and other organs and tissues of the body.

The woman certainly taken a blood on hormones, do immunogram, carried ultrasound, endoscopic, radiologic studies. Sometimes, to clarify the diagnosis is carried out magnetic - resonance imaging (MRI)

Adenomyosis of 1 degree is very important to identify at the time. A woman must always be observed gynecologist, so as not to miss the moment when inactive during latent disease will go into active with the rapid spread of the process.

Galina Romanenko