Hi there, welcome to Ultrasoundfeminsider, in this post, we will be talking about adenomyosis, a condition that affects millions of women around the world, I hope you’re having an amazing day today, as usual, you are going to find ultrasound images and explanations in this post, so let’s begin…
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What is adenomyosis?
This is a disorder where the endometrial tissue found within the lining the of the uterus grows into the muscles of the uterus or myometrium. Or in other words, the lining of the uterus grows into the outer muscular walls of the uterus. This disorder occurs mostly in the late stages of the childbearing years as well as after the woman has had children.
This disease is not like endometriosis which is a condition where the lining of the uterus can become implanted in areas of the body exteriorly from the uterus, however, many women with adenomyosis also often have endometriosis.
What causes adenomyosis is not known, but the illness normally vanishes after a woman is in post-menopause. For those women who have more severe pain from this disease, there are opportunities for treatments which may help but the only total cure is to have a hysterectomy.
Although this condition can be very painful, adenomyosis is normally harmless.
Views of Normal pelvic organs with ultrasound.
Adenomyosis is often called “silent” because with some women it causes no symptoms or signs and only causes mild discomfort. But in other women the following symptoms and signs can be experienced:
*Prolonged and heavy menstrual bleeding
*Severe cramping during menstruation this is known as dysmenorrhea.
*Pain while having intercourse.
*Passing clots of blood during the period.
*Bleeding in between monthly periods.
A woman’s uterus can increase to almost double its regular size. Although a woman may not know that the uterus is enlarged, she might notice that the lower abdomen does feel tender or seem bigger.
If a woman experiences any of the symptoms or signs of adenomyosis, like heavy, prolonged bleeding during her periods or cramping which is severe and interferes with normal activities, then it is time to schedule a visit to see her primary care physician or her gynecologist.
The physician may be suspicious of adenomyosis based on the following:
*Pelvic examination that reveals an enlarged uterus and that is tender when touched, plus all the other typical symptoms discussed previously.
To obtain a diagnosis one of these two might be ordered:
*Uterus magnetic resonance imaging or MRI
How Adenomyosis is seen on Ultrasound:
In some cases, the physician may do a biopsy of the endometrial tissue which is just a section of the cells from the lining of the uterus to test. By testing the physician can verify that the abnormal uterine bleeding is not linked with any further problems which could be serious.
There are other diseases of the uterus which many women can have which causes the symptoms and signs to be comparable to adenomyosis thus making adenomyosis much more problematic to diagnose. Some of these conditions comprise uterine cell growth outside the uterus in other areas of the pelvic cavity (endometriosis), fibroid tumors (leiomyomas), as well as growths in the lining of the uterus (endometrial polyps). A physician can only diagnose adenomyosis after eliminating any other reasons for the symptoms or signs.
Hysterectomy Surgery and Adenomyosis
A hysterectomy, or the removal of the uterus, is a treatment options doctors may consider only when symptoms are severe and cannot be managed until menopause. While a hysterectomy is a serious approach to treating adenomyosis, it can effectively eliminate symptoms. Given the high potential for misdiagnoses of adenomyosis and the fact that other treatment options are available, the general consensus is that the need for a hysterectomy should be assessed on a case-by-case basis.
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