What is the best treatment for adenomyosis?

The uterus is a female-specific organ that nurtures new life. When the egg and sperm discharged from the female body combine to form a fertilized egg, it will attach to the wall of the uterus and absorb nutrients from the wall of the uterus to complete embryonic development. But the uterus is also a place that is vulnerable to disease, especially after giving birth. Today I will introduce to you a uterine disease - adenomyosis.

Adenomyosis is a disease in which endometrial glands and stroma invade the myometrium to form diffuse or localized lesions. Like endometriosis, it is a common and difficult gynecological disease. Adenomyosis mostly occurs in multiparous women around 30 to 50 years old, but it can also be seen in young nulliparous women. This may be related to the increase in various intrauterine operations. About 15% of patients have endometriosis and about 50% have uterine fibroids.

Symptoms of adenomyosis include: (1) Menstrual disorders (40% to 50%), mainly manifested as prolonged menstruation and increased menstrual flow. Some patients may also experience spotting before and after menstruation. Severe cases may lead to anemia. (2) Dysmenorrhea (25%) is characterized by secondary and 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.

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 the menstrual period approaches, the uterus feels tender; during the menstrual period, the uterus enlarges, becomes softer, and the tenderness is more obvious than usual; after the menstrual period, 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.

Paying attention to some details in life can effectively prevent adenomyosis. Do not have an abortion unless it is necessary; take better care of your body during menstruation and do not have sexual intercourse; keep warm at ordinary times, and pay more attention during menstruation; exercise appropriately every day to improve immunity, etc. These are the details that need to be done for prevention.