What is adenomyosis and how to treat it

Adenomyosis is a common female disease caused by the implantation of viable endometrial cells in locations other than the endometrium. Intimal cells are supposed to grow in the uterine cavity, but because the uterine cavity communicates with the pelvis through the fallopian tubes, the endometrial cells can enter the pelvis through the fallopian tubes and grow ectopidically.

It is related to multiple pregnancies, childbirth, abortion, ring removal, upper ring, chronic endometritis, etc.

**Regimens, depending on the severity of the condition, the patient's age and fertility status. If the disease is severe, or if there is severe menstrual cramps, or if there is a definite endometriosis nodule on pelvic examination, medication or surgery is necessary**.

There are many first-class methods for this disease, and clinical decision-making needs to be individualized based on the patient's age, symptoms and fertility requirements. Surgical and medical** options can be selected at the same time.

1.Drugs**.

1) Symptomatic**For those with mild symptoms and only need to relieve dysmenorrhea, they can choose to be treated symptomatically with non-steroidal anti-inflammatory drugs such as fenpidex, indomethacin or naproxen during dysmenorrhea.

2) Pseudo-pregnancy** For patients with mild symptoms, no fertility requirements and near menopause, oral contraceptives or progestogens can control the development of adenomyosis by decidualizing and atrophy of the ectopic endometrium.

3) For those who have heavy menstrual bleeding and dysmenorrhea and have no desire to have children, they can choose an IUD containing high-potency progesterone to control the development of ectopic lesions by continuously releasing progesterone in the uterus, which needs to be removed or replaced after five years.

4) Pseudomenopause** ("drug-induced oophorectomy" or "drug-induced pituitary") drugs to shrink lesions before surgery and to reduce ** postoperatively. GNRHA injection makes the hormone level in the body reach the state of menopause, so that the ectopic endometrium gradually shrinks and plays a leading role. After the application of gnRHA, the uterus can be significantly reduced, and it can be used as a preoperative drug for some patients with large lesions and difficult surgery.

Waiting until the uterus is smaller before surgery is significantly less risky and difficult. Menopausal symptoms may occur, and even lead to serious cardiovascular and cerebrovascular complications and osteoporosis, so it is recommended to add estrogen in reverse after 3 months of application of GNRHA to alleviate complications. In addition, the cost of GNRHA is high, so it is not currently used as a long-term ** regimen, once the drug is stopped, the resumption of menstruation may lead to the re-progression of the lesion.

5) Traditional Chinese Medicine believes that adenomyosis is related to blood stasis and internal resistance, and the formation of blood stasis is related to qi deficiency, cold condensation, qi stagnation, phlegm dampness and other triggers. Therefore, in terms of **, it is necessary not only to promote blood circulation and eliminate blood stasis, but also to take into account the reasons for the formation of blood stasis and the difference between virtual and real. It can be used orally to relieve pain granules, loose knot analgesic capsules, Dango women's health decoction, Shao Abdomen Zhuyu Pill and other Chinese patent medicines or decoctions adjusted according to individual conditions.

It can also be used to retain enema, patch and iontophoresis of Danshen injection with traditional Chinese medicine that invigorates blood circulation and dispels blood stasis. It can also be used in premenstrual and menstrual acupuncture points such as Guan Yuan, Hegu, Sanyin Jiao and other acupuncture points or auricular acupuncture to take uterus, endocrine, liver and other acupoints.

2.Surgery**.

Surgery includes both surgery and conservative surgery. **Surgery is hysterectomy, and conservative surgery includes adenomyosis (adenomyoma) resection, endometrium and myomectomy, myometrial electrocoagulation, uterine artery occlusion, and presacral neuroresection and sacral neuroctomy.

Hello, adenomyosis is caused by the invasion of the myometrium by the endometrial glands and interstitium, causing its growth, atrophy and necrosis. The main symptoms are heavy menstrual flow, prolonged menstrual periods, and progressive dysmenorrhea.

For the best method of adenomyosis, it is necessary to first formulate a plan based on the patient's symptoms, age, and whether there is a desire to have children. For those who have mild symptoms and have fertility needs, or who are approaching menopause. Dalazole can be used, or it can be done with a predilin needle**.

For those who do not have a need to have children, or the drug ** has no effect. It is recommended to do hysterectomy surgery to go **, hope.

Myoadenosis is a kind of endometriosis, when the endometrial glands and interstitium invade the myometrium, it is called myometriosisUterine myadenosis occurs in women of childbearing age, often accompanied by dysmenorrhea, non-steroidal anti-inflammatory drugs can be used to treat the symptoms**, oral contraceptives, progestogens, danazol, etc. You can also take traditional Chinese medicine ** thousand gold tablets, pain relief capsules, etc. Hysterectomy may be considered if medication does not respond well or if you have severe menstrual cramps for a long time.

Hello! Adenomyosis is a diffuse or localized lesion in which endometrial glands and interstitium invade the myometrium to form diffuse or localized lesions, and like endometriosis, it is a common and difficult disease. Adenomyosis occurs more often in multiparous women around the age of 30 to 50, but it can also occur in young women who have not given birth, which may be related to the increase in various intrauterine cavity operations.

About 15% of patients have endometriosis and about 50% have uterine fibroids. The disease can be treated with drugs or surgery, but it is more difficult, and only the patient's postmenopausal adenomyosis can gradually resolve on its own. Therefore, the selection of clinical regimen should be individualized based on the patient's age, symptoms and fertility requirements.

How is adenomyosis**?

Drugs are a symptom rather than a cure. Moreover, long-term use has an impact on the body, and also produces drug resistance, and over time, the drug will be increased after the drug effect, and the disease will be serious in the later stage, and the drug can not solve the problem.

There is also a way to go to the Manluna Ring, but many patients are comfortable for a year and a half after the ring, and it also relieves the problem of dysmenorrhea, but with the passage of time, the ring will shift, the same how it hurts, how it still hurts, and the ring has to be taken again, not to mention the cumbersome process, and some secondary injuries can not be avoided.

The second is surgery, there are many kinds of surgery, Haifu knife, traditional minimally invasive surgery, hysterectomy and S-shaped uterine preservation, among which uterine removal is the least recommended, but some hospitals will basically recommend excision, a knife. Some hospitals will recommend traditional minimally invasive surgery, but minimally invasive surgery is basically less than three to five years, and complications are continuing, resulting in a second surgery.

At present, in the industry, the surgical method mostly adopts S-shaped uterine preservation, and there is a national retrial patent, which protects the uterus and fertility, and only digs the lesion without cutting the uterus.

Hello, glad to ask you for an answer:

Myometrial adenosis is a diffuse or localized lesion in which endometrial glands and interstitium invade the myometrium to form diffuse or localized lesions, which is a benign lesion of the uterus. There are two forms of adenomyosis: diffuse ectopic endometrial tissue diffusely distributed within the muscles, i.e., adenomyosis; Another is localized, adenomyoma.

At present, the patented S-shaped uterine preservation surgery launched by the hospital, aiming at adenomyosis, can effectively and completely remove the lesion, breaking the disadvantages of the traditional "uterine resection", so that the adenomyosis of the uterus can step into the "uterine preservation and re-pregnancy", its minimally invasive characteristics are: laparoscopic precise positioning of the lesion, removal of adenomyosis lesions, postoperative suturing cosmetic incision, its technical advantages are: uterine protection, fertility protection, no dysmenorrhea, no, the industry's mainstream advantage technology, three days after surgery can get out of bed, five days after surgery can be discharged, Pregnancy and childbirth can be carried out two years after surgery, which is the best news for women with adenomyosis.

Adenomyosis refers to adenomyosis, adenomyosis means that when the endometrial gland or interstitium invades the myometrium and causes the uterus to enlarge evenly, its usual clinical manifestations are dysmenorrhea and abnormal uterine bleeding, and the treatment of adenomyosis should be decided according to the patient's symptoms, age and whether there is a desire to have children.

Adenomyosis is a type of endometriosis, and there are two types of adenomyosis:

First, drugs**, such as progestogen drugs, contraceptive pills, etc., can alleviate the painful aftermenstrual phenomenon caused by adenomyosis, and can promote ectopic endometrial atrophy, thereby inhibiting the progression of the disease. If there is no need to have children, you can also use the Mirena Ring, which can continuously release hormones to reduce the symptoms of the disease and control the progression of the disease.

The second is to perform surgery**, which can remove the uterine gland lesion or directly remove the uterus, which is more thorough, but the damage to the body is greater, and it is suitable for patients with more serious conditions.

Adenomyosis will cause symptoms of dysmenorrhea and excessive menstrual flow, a small number of patients will affect conception, and must be timely**, in order to avoid aggravation of the condition, must be rechecked regularly.

If the recurrence of adenomyosis is very severe, and there is no desire to have children or the drug of the wild roll** is not effective, a total hysterectomy can be taken; If the patient is young or has a fertility desire, lesionectomy can be used, but the risk of surgery is very high.

In ordinary life, we must observe our body well, once we find this kind of disease, we must go to the hospital for examination in time**, I hope mine is helpful to you.