Ultrasonography (US) of the uterus - is available and harmless method of diagnosis. Today, it is used to diagnose most gynecological diseases, including diagnosis of adenomyosis. Ultrasound is also used to control the flow and dissemination of adenomyosis. Sonographic features of adenomyosis
Symptoms of adenomyosis - characteristic and recognizable
They are a sufficient basis for a correct diagnosis.
What can be seen in the wall of the uterus using ultrasound
Ultrasound is a high-frequency vibrations, which are not perceived by the human ear. Getting in the human body, the ultrasonic vibrations reflected from the tissue, the blood, the boundaries between the bodies. Thereafter, returning ultrasonic waves in the ultrasonic apparatus, where they are processed, measured, and then the results of this processing are displayed on the screen.
The ultrasound can not effectively penetrate only through air and any other gases bone, so ultrasound is used to investigate the soft tissue. Special gel for the ultrasound can significantly improve the quality of research.
One of the main components of the ultrasonic equipment is a sensor that transforms electrical signals into ultrasonic vibrations, and then transforms the reflected ultrasound waves from the internal tissues into electrical signals.
During the ultrasound sensors are different. This allows arbitrarily making various kinds of images necessary for diagnosis of various organs, including the uterus. Research genital mutilation is carried out using transabdominal (through the abdominal wall) sensors, as well as vaginal sensor - it allows us to consider the wall of the uterus, fallopian tubes and ovaries in detail. Transabdominal study is being conducted at the well-filled bladder, transvaginal - with an empty bladder.
In the US, you can see the body of the uterus, cervix, fallopian tubes and ovaries, and to assess their condition and the condition of the surrounding organs. You can also measure the size of all available research bodies, to assess their compliance with the second structure and a stage of the menstrual cycle. During the ultrasound measured the size of the uterus, inspect the wall of the uterus for the presence or absence of adenomioznyh nodes, increased muscle tone walls. Measured as the wall thickness of the uterus.
First time ultrasound genitals can be done any day of the menstrual cycle
The days of the menstrual cycle: Four phases
But the days of menstruation. Sometimes, to clarify the diagnosis requires re holding ultrasound, in which case it is carried out on a certain day of the menstrual cycle.
US genital and pelvic allows us to estimate the location of their size, to detect changes characteristic of adenomyosis uterus and ovaries, to distinguish benign from malignant, produce accurate diagnosis of adenomyosis and any other disease of the uterus, to make the control during a biopsy of the endometrium.
Sonographic signs
With the help of ultrasound can diagnose adenomyosis endometriosis sites at the location in the muscle of the uterus (myometrium). Research is conducted in the second half of the menstrual cycle when the swollen pockets and better defined in the US. With the help of this study may also reveal endometrioid ovarian cysts
Ovarian cysts - normal or dangerous?
.
Ultrasonographic findings of diffuse adenomyosis
Diffuse adenomyosis - common disease of women
are anteroposterior increase in uterine size, spherical shape of the uterus, areas of increased echogenicity in the myometrium and rounded anechoic inclusion of up to several millimeters in diameter (areas of endometriosis and fibrosis - proliferation of connective tissue), corroded and effacement of the boundaries between the base layer of the endometrium and myometrium. In the US, you can also see the small tubular structures decreased echogenicity, coming from the endometrium to the myometrium. In the basal layer of the endometrium when adenomyosis can see small inclusions decreased echogenicity. Basal layer has an uneven thickness of the endometrium
Sonographic signs of endometriosis are nodular areas of increased echogenicity a round or oval shape with smooth and indistinct contours, sometimes with small inclusions of low echogenicity. Adenomiozny node does not have the capsule, so it unclear contours (unlike uterine fibroids).
Pathology, close to adenomyosis is hyperplasia (excessive growth of the mucous membrane under the influence of estrogen) endometrium. Most endometrial hyperplasia is the initial phase of adenomyosis. If, during the US in the second half of the menstrual cycle showed signs of endometrial hyperplasia, a second ultrasound immediately after the end of the next month to see whether there was a rejection of the endometrium overgrown.
Ultrasound is affordable and informative method of research, which reveals the presence of the uterine wall or signs of diffuse nodular adenomyosis.
Galina Romanenko
