Symptoms of adenomyosis and fibroids

I believe everyone knows the importance of the uterus. The uterus is the cradle of life, but it is also fragile and most susceptible to disease, which is troubling more and more female friends. Adenomyosis combined with fibroids is a common disease in clinical practice. So what is adenomyosis combined with fibroids? What causes adenomyosis and uterine fibroids? What are the symptoms of adenomyosis and fibroids? Let’s take a look at it together below.

Adenomyosis combined with fibroids is also known as uterine adenomyoma. Uterine adenomyoma is a manifestation of adenomyosis. In clinical practice, doctors still use adenomyosis as the diagnostic name, and rarely use uterine adenomyoma as the diagnostic name. The so-called adenomyosis or uterine adenomyoma refers to a disease in which endometrial tissue exists within the uterine muscle layer. It is a benign disease. Clinical diagnosis is mainly based on symptoms, internal examination, tumor index CA-125 and ultrasound. Patients usually have a history of dysmenorrhea, which often starts one or two days before menstruation, lasts throughout the menstrual period, and can still occur a few days after the menstrual period ends. Some women also have problems such as excessive menstrual bleeding, painful intercourse and infertility. However, about half of the patients are asymptomatic, because after hysterectomy for other diseases, pathological examination accidentally discovered adenomyosis. Internal examination may reveal diffuse uterine hypertrophy, which is usually globular but rarely exceeds the size of a 12-week gestational age. The uterus swells during menstruation and may be tender during internal examination. It shrinks slightly and the tenderness disappears at the end of menstruation. Ultrasound examination can reveal that the entire uterus has become larger, the uterine wall has thickened, especially the posterior wall, and there is also an increase in ultrasound echoes. If the myometrium thickens and integrates into a tumor-like mass with strong echo characteristics, it is generally called a uterine adenomyoma. Recently, some people have used three-dimensional energy ultrasound to display changes in uterine myometrial blood flow for diagnosis. In addition, the tumor index CA-125 of patients with adenomyosis sometimes increases, which can be used as a reference for diagnosis. However, to confirm the diagnosis, it is still necessary to surgically remove the uterus or do a laparoscopic uterine biopsy and then send it for pathological examination. Age of onset and causes Adenomyosis often occurs in women aged 30 to 50, especially those approaching menopause. It is only discovered during a gynecological examination due to irregular menstruation and excessive menstrual bleeding. The true pathogenic mechanism is not clear, but some reports indicate that cesarean section scars and uterine scraping may also cause adenomyosis. When the enlarged uterus removed during surgery is opened and observed, fresh or old myometrial bleeding may be found. This is a manifestation of ectopic endometrial tissue in the myometrium. Some ectopic endometrial tissues in the myometrium may even undergo changes similar to the menstrual cycle, such as proliferation, secretion, and decidualization.

The above article introduces in detail the symptoms of adenomyosis combined with fibroids and adenomyosis combined with fibroids. I believe everyone has already understood it. The uterus is the cradle of life, giving birth to the next generation full of hope. If the uterus is diseased, it will cause great harm to the individual and even the family. So if your friends have this symptom, they must go to the hospital for medical treatment in time.