Adenomyosis Treatment, Causes, Symptoms and Diagnosis:
Adenomyosis is the endometrial glands. It is interstitial invasion of the myometrium to form diffuse or localized lesions. It is a common gynecological disease. Adenomyosis occurs in the 30 to 50 years of age. But it is also can be seen in the young female, which may be associated with a variety of intrauterine operation surgery have a certain relationship. About 15% of patients are with endometriosis and about 50% are with uterine fibroids. Adenomyosis treatment is possible with the help of medicines. Our Gynecologist here at ZhongBa Hospital in Lahore also treat it with the help of surgery. Only patients with postmenopausal adenomyosis can gradually self-mitigation. Therefore, the choice of clinical treatment depends on the patient’s age, symptoms and fertility requirements for individual selection.
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Causes of Adenomyosis:
The cause of adenomyosis is unknown. The current consensus is because the uterus lacks of sub mucosal, so the endometrial basal cell hyperplasia, invasion to the myometrium, and accompanied by the surrounding muscle cells compensatory hypertrophy and the formation of lesions.
40% to 50% females face menstrual disorders. Some patient faces increased menstrual flow. It also leads to anemia. Almost 25% patients face secondary dysmenorrhea condition. In this condition patient faces a lot of pain. Then doctors prescribe them medicines. About 35% of patients have no obvious symptoms.
Gynecological examination of the uterus often evenly increases spherical, uterine fibroids can be expresses as hard nodules. The uterus generally does not exceed from the size of 12 weeks pregnant. Near menstrual period, the uterus has a sense of tenderness. Its signs also includes uterine enlargement. 15% to 40% patients are with endometriosis. About half of patients are with uterine fibroids.
According to the typical history and signs can make a preliminary diagnosis. It combines with imaging studies such as pelvic or vaginal B ultrasound, MRI, CA125, etc.
The treatment of this disease depends on the patient’s age, symptoms and fertility requirements for individual selection. Surgery and drug treatment options can be select at the same time.
Symptomatic treatment is used for treatment of mild symptoms. It is only use to relieve dysmenorrhea.
False pregnancy therapy is used for treatment of mild symptoms. We use this method where there are no fertility requirements and patients are near menopause. We use oral contraceptives. It plays the role to control the adenomyosis effect.
Intrauterine device is used when there are no fertility requirements. It is sustained release of progesterone in the uterus to control the development of ectopic lesions. It needs to remove or replace after five years.
We here at ZhongBa hospital also treat it through Chinese herbal medicines.
Surgical treatment includes radical surgery and conservative surgery. Radical surgery is base on hysterectomy. Conservative surgery includes adenomyosis resection, endometrial and myometrium resection, myometrium electrocoagulation, uterine artery occlusion, sacral anterior resection and sacral nerve resection.
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