It was not considered that much malignant or premalignant condition. Adenomyosis can cause debilitating pain and too much menstrual bleeding during periods. This will be detected only through MRI and will be confirmed after surgery through pathology. Hysterectomy is the only treatment to cure adenomyosis. It is a common condition, but it is not that much easily identified by many doctors. There are some specialists, fellowship trained and highly experienced CIGC surgical specialists will treat adenomyosis. They have seen many women who have failed adenomyosis treatment which includes birth control or ablation. Neither of this treatments will be helpful to control the disease. The CIGC specialists will perform minimally invasive hysterectomies using DualportGYN with the risk of complications, quick recovery and low pain.
Now let us talk What actually the ADENOMYOSIS means?
Adenomyosis is that condition in which the cells that line the inside of the uterus(Endometrium). Which are abnormally located in cells by which the uterine wall is made(Myometrium). By this, the uterus gets enlarged. It causes very painful during the period and also has heavy bleeding.
Whom does it affect?
It is commonly seen in women under age forties or fifties. Nowadays it is seen even in teenagers.
What causes it?
Some of the theories say that the endometrial cells will able to migrate and invade the normal uterine wall this will result in Adenomyosis. Another theory says that cells that are in the uterine wall develop into endometrial cells hence results in adenomyosis. There are many other theories what does this cause
- Invasive growth of abnormal tissues from endometrial cells that pushes these cells into uterine muscle which may be due to an incision made in the uterus during surgery or uterine functioning.
- Stem cells int muscle of uterine wall.
- After childbirth uterine inflammation occurs which results in breaking of cell boundaries that line in the uterus.
- Extra tissues will be present before birth and grow during the childhood.
It may vary from women to women which can be localized or diffuse, scattered or clustered. Even Though it is not malignant or premalignant condition it will cause pain and severe menstrual bleeding for women. 30% of the women with adenomyosis will not have any symptoms.
Some more symptoms of Adenomyosis are
- prolonged menstrual cramps
- spotting between periods
- heavy menstrual bleeding
- longer menstrual cycles than normal
- blood clots during menstrual bleeding
- pain during sex
- tenderness in the abdominal area
Until now there is only one way to identify the adenomyosis is hysterectomy and examine the tissue of uterine under a microscope. However, imaging technology becomes very helpful for recognising adenomyosis without surgery. Here are some diagnosis to undergo
- Doctors using MRI or transvaginal ultrasound can see characteristics of the uterus disease.
- The first step to take by the doctor if he suspects adenomyosis is the physical exam.
- Pelvic Exam may reveal the enlarged and tender uterus.
- Ultrasound is another one which allows the doctor to see the uterus, its lining and muscular wall. Even though ultrasound cannot identify the adenomyosis it will be helpful to rule out the other problems with similar symptoms.
- Using Sonohysterography in which the saline is injected through a tiny tube into the uterus as an ultrasound.
- MRI — Which is used to confirm a diagnosis for adenomyosis.
Treatment for Adenomyosis:
- Anti-inflammatory medications
- Hormonal Treatments
- Endometrial ablation
- Uterine Artery Embolization
- MRI – Guided focused ultrasound surgery
Adenomyosis is not the life-threatening problem. Many treatments are available which helps to alleviate your symptoms. Hysterectomy is the only treatment that is very useful to identify and thus eliminates them altogether. Contact us today to make an appointment with Mrs. Sarah Hussain,Who can palpate your uterus to decide whether there are any expansive masses or growth of the uterus as a result of Adenomyosis and she will assist you to recover your life.