Advanced stage of adenomyosis

When adenomyosis reaches the late stage, patients will obviously feel that their symptoms have become more severe. Their mental state every day will be worse than before. They will also have severe dysmenorrhea symptoms and will feel that their menstruation has become longer. Especially in the week or so before menstruation, the dysmenorrhea will become more severe and patients cannot bear it at all.

In the past, adenomyosis mostly occurred in multiparous women over 40 years old, but in recent years it has shown a trend of gradually becoming younger, which may be related to the increase in intrauterine surgeries such as cesarean sections and artificial abortions.

1. Symptoms

(1) Menstrual disorders (40%-50%) are mainly manifested by prolonged menstrual period and increased menstrual volume. Some patients may also experience spotting before and after menstruation. Severe patients may develop anemia.

(2) Dysmenorrhea (25%) is characterized by secondary progressive dysmenorrhea. It often begins a week before menstruation and is relieved when the menstrual period ends. Taking painkillers can relieve dysmenorrhea in the early stages, but as the disease progresses, the dosage of painkillers required for dysmenorrhea increases significantly, making it impossible for patients to tolerate it.

(3) About 35% of other patients have no obvious symptoms.

2. Physical signs

Gynecological examination shows that the uterus is often uniformly enlarged and spherical, and adenomyoma may appear as hard nodules. The uterus is generally no larger than 12 weeks of pregnancy. As menstruation approaches, the uterus feels tender; during menstruation, the uterus enlarges, becomes softer, and the tenderness is more obvious than usual; after menstruation, the uterus shrinks. The uterus is often adhered to the surrounding area, especially the rectum at the back, and has poor mobility. 15% to 40% of patients have concomitant endometriosis, and about half of the patients have concomitant uterine fibroids.

Traditional Chinese Medicine Treatment Traditional Chinese Medicine believes that adenomyosis is related to internal blood stasis, and the formation of blood stasis is related to pathogenic factors such as qi deficiency, cold stagnation, qi stagnation, phlegm and dampness. Therefore, in terms of treatment, we should not only take promoting blood circulation and removing blood stasis as the principle, but also take into account the causes of blood stasis and the differences between deficiency and excess. You can take Chinese patent medicines such as Huazheng Zhitong Granules, Sanjie Zhentong Capsules, Dan'e Fukang Decoction, Shaofu Zhuyu Pills, etc. or decoctions adjusted according to your personal situation. You can also use Chinese medicine for promoting blood circulation and removing blood stasis, such as retention enema, plaster application, and ion introduction of Danshen injection. You can also use acupuncture on Guanyuan, Hegu, Sanyinjiao and other acupoints before and during menstruation, or use ear acupuncture on uterus, endocrine, liver and other acupoints.