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Adenomyosis

Adenomyosis is a prevalent condition affecting older women in their 40s, mainly leading to painful menstruation. Adenomyosis needs the understanding and attention of an experienced gynecologist so that it can be treated effectively and not lead to further depreciation in the quality of life of the woman. Get in touch with the best gynecologists in the country to get an effective management strategy for adenomyosis.


What is adenomyosis?

Adenomyosis is a condition of the female genital tract wherein the lining of the uterus enters more profoundly into the muscular layer of the uterus. Adenomyosis can be a very difficult-to-treat condition and, due to severe pain and heavy bleeding, can affect the daily activities of the woman. This condition can be managed medically and as deemed fit based on the response to treatment and the patient’s desire.

 

Adenomyosis

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What are the symptoms of adenomyosis?

The main symptoms of adenomyosis that most women complain of are as follows:

1. Pain in the lower abdomen, which becomes more intense around periods

2. Increase in the size of the belly

3. Prolonged bleeding during periods

4. Pain during intercourse or dyspareunia

If you experience these symptoms, visit the gynecologist for further diagnosis and treatment.

What are the causes of adenomyosis?

The cause of adenomyosis is still unclear, although there are some theories as to why it may arise in the first place:

1. Invasion of the myometrium or muscle layer by the lining of the uterus 

2. Abnormality occurs during the formation of the uterus, in which the lining gets trapped in the muscular layer during the fetal period.

3. Postpartum inflammation of the uterine lining can be another cause for entering of the endometrial cells into the muscular layer

4. A theory also suggests that bone marrow stem cells sometimes invade the endometrium.

How is it diagnosed?

The diagnosis of adenomyosis starts with a clinical history taken by the doctor and finding out the duration, extent and severity of the problem from the patient. The doctor will also perform a pelvic and abdomen examination to assess the size of the uterus. To further confirm the diagnosis, the doctor may suggest other tests such as:

  1. Ultrasound of the abdomen, which shows characteristic Venetian blind appearance in the substance of the uterus 
  2. MRI of the pelvis is a more sensitive test that can reveal the endometrial glands embedded in the muscular layer.

3. Sometimes the doctor may also suggest a biopsy to rule out any other severe conditions as a cause for heavy bleeding like endometrial cancer.

What is the treatment for adenomyosis?

Adenomyosis is treated with the help of medications that manage the condition symptomatically, or a uterus removal surgery can be done for lasting relief from symptoms.

1. Medical therapy: It includes medicines like 

Pain medication or anti-inflammatory medicines reduce pain and discomfort during periods.

b. hormonal pills or tablets containing estrogen and progesterone combination to reduce the heavy bleeding due to adenomyosis. Intrauterine devices such as Merina may also provide some relief to the mother.

c. Tranexamic acid may be used to control bleeding during the menses.

2. Surgery: Hysterectomy surgery can be performed to remove the uterus and, therefore, provide complete relief from the symptoms of adenomyosis.

What are the complications of adenomyosis?

The main impact of adenomyosis is on the long-term health and functioning of the woman. Prolonged heavy bleeding during periods can lead to chronic anaemia. The pain and symptoms related to anaemia can significantly diminish the productivity of the woman and the quality of her life, preventing her from being thoroughly involved and enjoying the activities she wanted in the past. In some women, adenomyosis can cause preterm labour and miscarriage, therefore making the pregnancy after the first child difficult.

Why choose Medifyhome?

Medifyhome is one of the leading online platforms that promotes and provides comfortable home-based medical services. Our services are available in all the metropolitan cities across the country, such as Mumbai, Delhi, Bangalore, Pune, Hyderabad, Chennai, Ahmedabad and Kolkata. We provide a wide range of medical services that you can avail yourself of at an affordable cost, which gives you top-notch health facilities while not being excessively heavy on the pocket. Medifyhome is connected to experienced and acclaimed gynecologists across the country and, therefore, is the best place to get practical and appropriate treatment for adenomyosis. Our gynecologists are committed to treating adenomyosis holistically so that you can emerge stronger and live to the best of your abilities. Book your appointment with Medifyhome today to get relief from adenomyosis.

FAQs

Surgery for adenomyosis is a hysterectomy procedure that can cost anywhere from 80,000 to 1,20,000 rupees, depending on the hospital, type of surgery, and doctor.

Adenomyosis has an increased chance of occurring in specific individuals who have experienced one or more of the following events:

1. Repeated dilatation and curettage 

2. Pregnancy and childbirth 

3. Women over the age of 40 years

Yes. Very often, the condition resolves itself after menopause when the uterus starts to shrink and the period of bleeding ceases, therefore making symptoms of adenomyosis go away.

The pain during adenomyosis can be very severe during menses, but you can manage the pain with

1. Adequate rest

2. Place a heating pad over your abdomen.

3. over-the-counter pain medication.

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