Adenomyosis: diffuse form

Adenomyosis (diffuse form) can occur in different ways, it all depends on how quickly and deeply endometrial tissue is distributed by muscle layer of the uterus. Very often diffuse form of adenomyosis are asymptomatic, especially in the initial stages of the disease.

The spreading of endometrioid

In the depths of the spread endometrial tissue in the muscle layer of the uterus, there are three degrees of diffuse adenomyosis:

• Grade I - the inner layers of the muscle layer of the uterus (they are adjacent to the basal, do not separate during menstruation layer of the endometrium) grow to a minimum depth criterion which is the value of the field of view at low magnification;
• Grade II - germination of endometrial tissue to the middle muscular layer of the uterus;
• Grade III - germination of endometrial tissue to the outside (serous) of the uterus, that is all the muscle layer of the uterus is permeated endometrial tissue.

Today, some experts distinguish from three to four the prevalence of diffuse adenomyosis. In this case, it means the degree of germination III endometrial tissue to a depth equal to two thirds of the myometrium and grade IV - total germination myometrium.

Symptoms of diffuse adenomyosis

The initial stages of the disease, the corresponding I and part II degree spread endometrioid process often asymptomatic. As well as the thickness of the wall of the uterus at the same time may increase slightly, adenomyosis can be difficult to identify. That is why many women the disease can not progressing, last for years, and they are unaware of its existence.

Under favorable circumstances, diffuse adenomyosis may not be felt forever. But there are several factors that can trigger the activation process. This is primarily a variety of injuries of the uterus - a difficult birth with manual removal of the placenta, abortion, diagnostic curettage (for example, uterine polyps) - all of which can cause a rapid increase in endometrioid germination myometrium.

Less active provoking factors include inflammation of female genitals, any general acute disease and frequent exacerbations of chronic diseases, leading to decreased immunity, immunodeficiencies, intoxication (smoking, alcohol, drugs), high physical and mental load, stress and so on.

The first manifestations of diffuse adenomyosis are heavy uterine bleeding Uterine bleeding outside of menstruation - a sign of a serious breach   and pain. Abundant uterine bleeding usually occur against the backdrop of lengthening the menstrual cycle. Over time can appear and acyclic bleeding. All this leads to the development of iron-deficiency anemia, which is manifested by lethargy, drowsiness, lethargy, headaches, dizziness and fainting. Treatment of anemia this can not be long until they eliminated blood loss.

Pain in diffuse adenomyosis Adenomyosis - avoid constant stress   are cyclical in nature, they occur in the abdomen for two to three days before menstruation and continued for several days after it began. The appearance of pain associated with swelling of the tissues, thereby squeezing the nerve endings in the wall of the uterus.

Pain may be constant aching in nature, to give to the lower back, hips and crotch area. Against the background of such aching pain often have acute paroxysmal pain associated with spasm of the muscles of the uterus and even greater compression of the nerve endings.

Pain may occur during sex, gynecological procedures or hygiene (eg, irrigation).

Based on what the diagnosis of diffuse adenomyosis

In the later stages of the disease diagnosis may be suspected on the basis of questioning and examination of the patient, as it imposes specific complaints and gynecological examination Gynecological examination: an important component of women's health   reveals the spherical shape of the uterus.

However, even in this case, the diagnosis requires confirmation by further methods. Blood tests to detect hormones hormonal disorders Hormonal disorders - oversupply and a lack of equally dangerous , An ultrasound can see a spherical shape of the uterus, thickening of its walls and changing the structure of the tissue wall. Hysteroscopy reveal characteristic changes in the lining of the uterus in the form of pinholes through which blood from edometrioidnoy tissue during cyclical changes displayed in the uterine cavity.

If there is any doubt in the diagnosis, then performed magnetic resonance imaging, which allows more accurate diagnosis.

Adenomyosis, diffuse form often characterized by a moderate course, and even more often this disease is asymptomatic, unless of course, the activation process does not happen under the influence of any precipitating factors.

Causes of itching in the groin in females

• Contact dermatitis

Contact Dermatitis - an inflammation of the skin caused by contact with a substance that causes an allergic reaction or irritation. In mild cases, it can cause itching and a slight reddening of the skin, and sometimes it leads to a violation of edema, the appearance of large blisters and very painful. Such symptoms of contact dermatitis in the groin, as itching, irritation and redness may occur from the use of gels, lotions and other cosmetic products which contain allergens or simply harsh chemicals due to spacers (usually - flavored) washing powders and rinses, and even for underwear made from synthetic fabrics. For signs of disappeared and did not appear again, you need to identify the cause of their occurrence, in the future, if possible, to avoid their impact.

• Scabies

Scabies can cause very intense itching in the groin, as well as in other parts of the body. Moreover, this disease is characterized by rash, which is formed due to biting parasites which cause scabies. It may appear in the groin, in the folds between the fingers, toes, wrists, elbows, and so on.

If you suspect scabies it is necessary to consult a doctor. This disease is usually not dangerous, but it must be treated, otherwise you can infect many people. For the treatment of scabies usually used permetrinovaya ointment and lotion malathion; both drugs contain insecticides that destroy the scabies mite.

• Pediculosis pubis, or pubic lice

The causative agent of this disease is a pubic lice - small insect body length of from one to three millimeters. Typical symptoms of pediculosis pubis - severe itching in the groin, inflammation and irritation, bluish spots on the skin in the groin area - they point to the places inhabited by the pubic louse, small blood stains on the skin and / or underwear. In some cases, pubic lice affects not only the groin area, but also extends to the hair in the armpits, legs and even eyebrows and eyelashes.

Pubic lice are not a carrier of HIV or other sexually transmitted diseases (STDs), but patients who have pediculosis pubis identified, it is recommended to be tested for STDs.

Pediculosis pubis disease is not due to poor personal hygiene. Its pathogens are transmitted through close physical contact with an infected person. Pubic lice crawling with the hair of the hair, but it can not fly or jump. In order to survive and reproduce it needs human blood, so it usually leaves the body of one man only to move to another.

The most common pubic lice spread through sexual contact and through the bedding, towels, clothing. Condoms and, moreover, other contraceptives do not protect against infection. For the treatment of pediculosis pubis apply special ointments or lotions containing insecticides.

Other causes of itching in the groin in females

• Skin diseases such as eczema, psoriasis, ringworm Ringworm - not only infectious disease .
• Menopause. Due to lower estrogen levels Estrogen - the key to bone health   menopausal skin of the vulva becomes thinner, the volume of vaginal discharge Vaginal discharge: normal or disease?   decrease, appear dry and itchy. Often, it also causes itching in the groin and perineum. Alleviate these symptoms can be by means of special lubricants and, in some cases, hormone replacement therapy.
• Pregnancy and breast-feeding sometimes become a cause of itching in the groin and perineum, as a result of hormonal changes. Typically, in such cases, itch is not strong, there is a period of time and does not cause significant discomfort.
• Diabetes, especially if the blood sugar level Blood sugar - one of the main indicators of human health   poorly controlled, it can lead to itching in the groin and other parts of the body.