What is adenomyosis? What causes adenomyosis?

Hello! Depending on your condition, you can do without surgery for the time being, follow up on your menstrual condition and menstruation, and if you can't control dysmenorrhea and menorrhagia with medication, you will need surgery** (removal of the uterus).

Shanghai Red House Hospital-**- Deputy Chief Physician Fang Fang.

It may be caused by genital tract obstruction, many female friends due to congenital or acquired diseases and other factors caused by genital tract obstruction, menstrual blood can not flow out smoothly when menstruation comes, and the pressure in the uterine cavity has increased and caused endometrial dislocation to the myometrium, resulting in adenomyosis, that is, adenomyosis.

Of course, it may also be caused by ** surgery and cesarean section, some female friends do not do a good job of birth planning in their daily life, or they take the delivery method of cesarean section in pursuit of perfection, which causes certain damage to the uterine wall, causing endometrial basal cells to slowly invade the myometrium along these damaged places and cause ectopic growth, and eventually cause adenomyosis.

In addition, it may be because of high estrogen, you must know that this disease is a disease of estrogen dependence, and the occurrence of this disease has a great relationship with too high estrogen in the body.

Patients can choose Chinese medicine**. Traditional Chinese medicine believes that adenomyosis is caused by qi stagnation, cold condensation, hot burning, kidney deficiency and other leading factors that lead to congestion and blockade of Chong Ren and uterus, which belongs to the category of "dysmenorrhea" and "symptomatic fistula" in traditional Chinese medicine.

Beijing Oriental Boda Hospital-**-Chief Physician-Sun Aida-What is going on with adenomyosis.

Adenomyosis is a type of endometriosis.

Under normal circumstances, the location of the endometrium in the uterus, it will periodically proliferate, secrete, and shed the ovaries to form menstruation. However, the endometrium has a kind of wide planting theory, the normal endometrium is not in the endometrium, it runs to the myometrium, and in the myometrium, it is also affected by the secretion function of the egg stuffy nest, and it is regularly proliferated, secreted, and shed. However, in the case of the myometrium, there is no way for it to fall off, and the myometrium continues to develop and plant, resulting in uniform enlargement of the uterus, and the disease adenomyosis is formed.

It is a type of endometriosis, which is a medically refractory disease. Adenomyosis is characterized by dysmenorrhea, increased menstrual flow, and a gradual worsening trend. **Generally, hormones are used to make it menopause, or the uterus is surgically removed or the lesion is removed through uterine preservation surgery, and the method that suits you is chosen according to your own needs**.

Adenomyosis, or adenomyosis, is a diffuse or localized lesion in which endometrial glands and interstitium invade the myometrium to form diffuse or localized lesions, and endometriosis, which 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.

Clinical presentation. In the past, adenomyosis occurred mostly in multiparous women over 40 years old, but in recent years, it has gradually become younger, which may be related to the increase in uterine cavity surgeries such as cesarean section and induced abortion.

1. Symptoms. (1) Menstrual disorders (40% 50%) are mainly manifested as prolonged menstruation, increased menstrual flow, and some patients may also have spotting before and after menstruation, which can lead to anemia in severe patients.

2) Dysmenorrhea (25%) is characterized by secondary progressive aggravation of dysmenorrhea. It usually begins a week before menstrual cramps and resolves when menstrual cramps end. Pain medication can be relieved at the beginning of dysmenorrhea, but as the disease progresses, the dose of pain medication required for dysmenorrhea increases significantly, making it intolerable.

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

2. Signs. **On examination, the uterus is often uniformly enlarged and spherical, and adenomyomas may appear as hard nodules.

The uterus is generally no longer than 12 weeks gestation. Approaching menstruation, tenderness in the uterus; During menstruation, the uterus enlarges, the texture becomes softer, and the tenderness is more pronounced than usual; After menstruation, the uterus shrinks. The uterus is often less mobile because of adhesions to the surrounding rectum, especially the back of the rectum.

15% to 40% had endometriosis, and about half of the patients had uterine fibroids.

The above content reference: Encyclopedia adenomyosis.

Adenomyosis generally refers to uterine vein myopathy.

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 to a child, which may be related to the increase in various uterine cavity operations. About 15% of patients had endometriosis and about 50% had myometriosis.

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. This disease belongs to the category of "dysmenorrhea", "symptomatic dysmenorrhea" and "hand infertility" in traditional Chinese medicine.