Internal adenomyosis - is a form of endometriosis, in which the endometrial tissue sites located within the muscle of the uterus - the myometrium. Adenomyosis may be diffuse (evenly distributed in muscle fibers) or focal (nodal). In the depths of the spread adenomyosis is divided into three levels.
Internal adenomyosis - what is it?
Endometriosis - the development of areas of the mucous membrane of the uterus (endometrium) in the tissue of other organs. The whole is divided into genital endometriosis (affects the genitals) and extra (any other affected organs, often located next to the sex, but perhaps defeated and distant organs).
Endometriosis is divided into external and internal. Internal endometriosis - this defeat uterus and fallopian tubes. The defeat of the uterus is also called adenomyosis - with the endometrial tissue sites located within the muscular layer of tissue. For external endometriosis
External endometriosis - a mysterious disease
It is defeat all the other genital organs: the ovaries, cervix, vagina, external genitalia, and so on.
How and why to develop adenomyosis
The main reasons for the development of adenomyosis are hormonal disorders and immune disorders. With an excess in the body of female sex hormones estrogen there is excessive growth of the mucous membrane of the uterus (the endometrium).
When such an increase in volume mucosa is rejected, there is heavy menstrual bleeding and endometrial cells penetrate into the muscle of the uterus. There they are under the influence of estrogen in the first half of the menstrual cycle, proliferate, and then rejected, accompanied by bleeding. And as the blood and endometrial cells have nowhere to flow, they remain in the muscle tissue, leading to the development of the inflammatory process at first, accompanied by pain, and then the exchange-dystrophic process, which leads to the dysfunction of the myometrium and miscarriage
Miscarriage - why you lose the most precious thing?
In some cases, the contents of the sites of endometriosis is cast into the uterus and removed along with the menstrual blood. This suggests that the broken inner basal layer of the endometrium - it leads to the development of adhesions - strands of connective tissue proliferation of the uterine cavity.
But the casting of endometrial cells in other tissues are not a guarantee that these cells take root there. At normal immunity of foreign cells immediately destroyed by immune cells. Therefore, no immunity disorders adenomyosis development impossible.
It remains a mystery how the endometrial cells manage to penetrate the myometrium, bypassing the barrier - the basal layer of the endometrium. This is a very important issue, which is still unclear scientist. Establish a mechanism for getting endometrial cells in the muscle layer of the uterus, can be learned to prevent this process. Scientists just assume that the reason for this penetration can be genetic or congenital changes in the basal endometrium that result in violations of its permeability.
Another reason for the penetration of endometrial cells in myometrium called intrauterine pressure increase in the case, if the menstrual blood outflow path has a congenital or acquired obstruction. This can be congenital anomaly structure uterine too narrow cervical canal, uterine adhesions or cervical canal caused by inflammatory processes and gynecological procedures, and so on.
Internal adenomyosis - the main symptoms
Very often adenomyosis has no symptoms, in this case for the course of the disease just watch. In some cases, asymptomatic disease manifestation is replaced (the onset of symptoms). This is facilitated by factors such as abortion, obstructed labor, and various gynecological manipulation, inflammation, injury and so on. Sometimes adenomyosis immediately it manifests itself in the form of a number of characteristic symptoms
The main symptoms of adenomyosis
Adenomyosis: Symptoms - what to expect from the body?
are pain and uterine bleeding
Uterine bleeding outside of menstruation - a sign of a serious breach
. Pain begins a few days before menstruation and are significantly reduced or a few days after it began. Pain may be constant aching in nature, to be replaced by strong spastic pains.
Uterine bleeding in most cases, are cyclical in nature (menorrhagia). Menstruation can be as a very abundant and less long and less abundant, but very long. Sometimes there and acyclic (intermenstrual) bleedings - metrorrhagia.
Regular significant blood loss leading to iron-deficiency anemia. Woman becomes lethargic, pale, reduced performance, impaired functioning of all organs and systems.
Adenomyosis - an internal genital endometriosis, which is characterized by the growth of endometriosis sites in the uterine wall.