What are the clinical manifestations of adenomyosis?

It is very common for women to suffer from gynecological diseases, but the severity of the symptoms varies. The incidence of adenomyosis is relatively high, and it will also bring many adverse effects to the patient's body, so it is necessary to detect abnormal reactions in time. So what are they generally like? Next, the editor will give a detailed explanation of the possible symptoms collected.

1. Abnormal menstruation: patients have excessive menstrual flow and prolonged menstrual period. Menstrual abnormalities may be related to ovarian anovulation, corpus luteum insufficiency, or the presence of uterine fibroids.

2. Discomfort during sexual intercourse: It is more common in patients with ectopic lesions in the rectouterine pouch or with retroverted and fixed uterus due to lesions. During sexual intercourse, pain is caused by collision, contraction and upward lifting of the uterus. It is generally manifested as deep pain during sexual intercourse, and the pain is more obvious before menstruation.

3. Lower abdominal pain and dysmenorrhea: The pain is mostly located in the middle of the lower abdomen, and the pain gradually intensifies as the local lesions worsen. It usually starts one week before menstruation and lasts throughout the menstrual period. The degree of pain is not necessarily proportional to the size of the lesion. There are also cases where the time of abdominal pain is not synchronized with menstruation. A small number of patients experience long-term lower abdominal pain, which is more severe during menstruation. The uterus is uniformly enlarged or has localized nodular protrusions, is hard and tender, and the tenderness is worse during menstruation.

4. Infertility: The causes of infertility are complex, such as changes in the patient's pelvic microenvironment affecting the combination and transportation of sperm and eggs, abnormal immune function leading to an increase in endometrial antibodies and destroying the normal metabolism and physiological function of the endometrium, and abnormal ovarian function leading to ovulation disorders and poor corpus luteum formation. Moderate to severe patients may have adhesions around the ovaries and fallopian tubes, which may affect the transport of fertilized eggs.

All the aspects mentioned in the article may be clinical characteristics of adenomyosis. Generally speaking, they are relatively easy to be noticed by the patients themselves. Therefore, the editor would like to remind all women to pay attention to observing their body reactions. If one or several of these symptoms occur, they should be vigilant and actively check.