Why does adenomyosis cause abdominal pain?

Adenomyosis is a common female disease in clinical practice. Unlike ordinary diseases, because the lesion is located in the uterus, women will experience unbearable abdominal pain once they have their period. In fact, in addition to taking correct treatment for adenomyosis, some auxiliary methods can also relieve the pain, such as paying attention to diet selection, hot compresses, etc. Patients may wish to give it a try.

Why does adenomyosis cause dysmenorrhea?

Adenomyosis is caused by the proliferation of endometriosis in the patient's uterus and its invasion and growth into the myometrium. Every time the patient has menstruation, the ectopic endometrium will fall off and bleed, causing the patient's myometrium blood vessels to dilate, increase blood volume, and stimulate uterine spasmodic contractions, which in turn causes the patient to experience dysmenorrhea symptoms.

Dysmenorrhea caused by adenomyosis is mostly secondary and will become more severe as the number of menstruation increases!

What to do with adenomyosis dysmenorrhea? You can choose these methods to relieve: diet

Patients with adenomyosis should pay attention to eating more hot food, drinking more water, and not eating too greasy food. They must be careful to avoid eating spicy, sour, and cold foods before and after menstruation to avoid aggravating the symptoms of adenomyosis dysmenorrhea.

Heat

Dysmenorrhea caused by adenomyosis can also be relieved by hot compresses. Using a hot water bottle or steam to keep the abdomen warm can reduce the abdominal pain during menstruation caused by adenomyosis.

How is adenomyosis treated?

There are many treatments for adenomyosis, including medication, surgery, intervention, and high-intensity focused ultrasound (HIFU). However, among so many treatments, it is difficult to find a method that does not damage the uterus, is obviously effective, and does not recur. Each treatment method has certain advantages and disadvantages.

(1) Placement of the LNG-IUS creates a high-concentration progesterone environment in the local uterine cavity, causing temporary atrophy of the endometrium and inhibiting its growth, thereby reducing the amount of menstrual blood and relieving dysmenorrhea. The most common adverse reaction is irregular vaginal bleeding, but it basically disappears within 3 months after insertion.

(2) Gonadotropin-releasing hormone agonist (GnRH-a) is currently the most effective drug for the treatment of endometriosis. It can relieve dysmenorrhea, and ovulation can resume within a short period after stopping the medication, but there is also the possibility of recurrence. Some women may experience hot flashes, insomnia, bone pain and other discomforts after treatment, and estrogen can be added to relieve the symptoms.

(3) Oral short-acting contraceptives: They can directly act on the endometrium and ectopic endometrium, causing endometrial atrophy and reduced menstrual volume, thereby alleviating symptoms.

(4) Mifepristone: has anti-progestin and anti-corticosteroid activities. The treatment of adenomyosis is safe and effective.

(5) Danazol: It is a testosterone derivative that has the effect of reversing endometrial hyperplasia. Danazol-containing intrauterine devices are more effective in treating adenomyosis.