uterine cavity is covered with a mucous membrane, it is called the endometrium.During the menstrual cycle, it grows and prepares to accept a fertilized egg.If pregnancy does not happen, then it leaves the top layer, and it's all accompanied by bleeding.But little remains in the uterus endometrium, from which next month will grow a new layer.
endometrium is separate from the muscles of the uterus, they are separated by a special thin cloth.In adenomyosis, a violation occurs, so that the endometrium grows into the tissue separating the muscle and endometrium, and grows into the muscle tissue.The implementation is parts, not all over the wall.The uterus responds to increases and becomes a spherical shape.
- 1 forms of adenomyosis
- 2 cause of adenominoza
- 3 Symptoms ademomioza
- 4 Diagnostics of adenomyosis
- 5 Treatment of adenomyosis
- 6 Infertility and adenomyosis
forms of adenomyosis
If the form is alopecia, this means that the ingrown endometriu
nodular form - this is when the endometrium that has penetrated into the uterus, forms nodes that are similar to uterine fibroids.These nodes contained in a large amount together with the iron component of connective tissue.
These two diseases are very difficult to distinguish on ultrasound.Moreover, there is a possibility that the endometrium can be included in existing miomatochnye nodes.It is important to make the correct diagnosis, since treatment though not much different, but nevertheless effectiveness will be different.
cause of adenominoza
Just can not yet determine.Perhaps it's all those factors which serve to protect breach between the muscle layer and the endometrium.Namely this: surgery on the uterus, inflammation of the uterus, childbirth, cesarean section, removal of fibroids, uterine cavity opening, abortion and curettage.
Although there are cases where women had adenomyosis can not tolerate the above-said operations, and young girls who have just started menstruating.Then the reason may be: firstly, disturbances even during fetal development, secondly, the reason may be that when during menstruation opens the cervical canal, the increased intrauterine pressure, and it may give the load on the endometrium and to traumaticimpact.Thus the introduction of the endometrium and in the uterine wall will occur.
Most often it occurs without any symptoms.You can be very painful, heavy and long menstrual period.There may be lumps, clots, brown discharge, pain during sexual intercourse.When adenomyosis pain is usually severe, spastic, cutting.Common painkillers do not relieve such pain, but with age, more and more pain increases.
Diagnostics of adenomyosis
determined by ultrasound.It can be seen enlarged uterus, heterogeneous structure of the myometrium, is not visible border between the myometrium and endometrium may be foci in the myometrium.Maybe that one wall is considerably thicker than the other, this can be read in the diagnosis of almost all.The most important conclusion, which will tell about the disease - a "round the uterus."You can also hold a hysteroscopy.This can be seen "moves", ie the red points on them it shows that the endometrium penetrated the wall of the uterus.Less common, but still using MRI.It is necessary to confirm the diagnosis and choice of treatment.
Adenomyosis fairly common disease, it can worsen and develop more rapidly after menopause.But symptoms may never appear ever.If you do not create favorable conditions for the disease, such as curettage or abortion, the adenomyosis can not progress.Most of the women it is formed as the background and does not require treatment, only in prevention.As a serious underlying problem, adenomyosis is rarely, but in this case it has to be treated carefully.
Treatment of adenomyosis
completely cure the disease is impossible.One option, but not suitable for all - removal of the uterus.After menopause - the disease progresses.Before menopause, you can achieve a regressive state, and stop the development.
treatment practices such as uterine fibroids.Use of GnRH agonist medications (lyukrin, Zoladex, buserelin-depot), they create a state of menopause, which removes all the symptoms of the disease and lead to regression.To save the results, then there is the option of establishing a spiral, or the use of hormonal contraceptives, as they do not manage to restore menstrual function.You can embolize the uterine tubes.Although there are different versions about the effectiveness of this method.
resort to surgical methods that remove tissue adenominoza, while preserving the uterus., Or completely amputated uterus.By surgically treated very rarely, in extreme cases, if does not help anything.Setting the spiral can be stopped menstruation and with them pain.Hormonal contraceptives provide only stop the disease in its early stages.
Infertility and adenomyosis
According to many authors due to infertility in this disease is not present.That is, you can safely become pregnant.But there can be exerted a strong influence on a woman's fertility.
In conclusion we can say that:
- adenominoz happens in 60-70 percent of cases among the diseases in women;
- increased size of the uterus;
- diagnosis is carried out after the age of 30 years;
- lead to the development of different operations with the uterus: inflammation, surgery on the uterus, childbirth, cesarean section, abortion, curettage;
- usually asymptomatic;
- painful menstruation, frequent, with clots, profuse;
- sharp pain during intercourse;
- diagnosis is by ultrasound and hysteroscopy;
- often manifests with uterine myoma, difficult to distinguish from myoma node;
- treatment is medication, and by setting the spiral, creating the menopause;
- sometimes possible to use embolization of uterine tubes;
- does not lead to infertility.