Introduction to adenomyosis with adenomyoma

Many female friends may not be familiar with the symptoms of adenomyosis with adenomyoma, but we suggest that you can understand the cause of this disease in your life so that you can prevent the occurrence of some uterine inflammation. Adenomyosis with adenomyoma is a disease in which a tumor grows on the uterus, which has a certain impact on women's fertility.

Uterine fibroids are fleshy tumors that grow on the uterus. Depending on the location of growth, they are divided into three categories: subserosal, intramural, and submucosal. When intramural fibroids and submucosal fibroids occur, they can cause infertility. If the intramural fibroids are large and protrude into the uterine cavity, they can change the shape of the uterine cavity and affect the anatomical relationship of the uterine cavity. Especially when they grow near the uterine angle, they can block the fallopian tubes or affect the upward speed of sperm, preventing sperm from passing through the fallopian tubes and combining with the egg. They can also cause ectopic pregnancy and miscarriage.

However, not all women with uterine fibroids are incapable of pregnancy. Women with smaller fibroids and those whose growth site is close to the serosa can still become pregnant. During pregnancy, due to the rich blood supply to the uterus, the fibroids will grow faster and may also undergo red degeneration, causing pain and even premature birth. Therefore, women with uterine fibroids who want to become pregnant should see a doctor before planning pregnancy to find out whether they are suitable for pregnancy and listen to the doctor's advice.

If the fibroids are too large, it is recommended to remove the uterine fibroids first and then get pregnant after recovery. If there are submucosal fibroids, they should be removed under hysteroscopy before becoming pregnant. For women with uterine fibroids complicated by pregnancy, they should choose experienced doctors for diagnosis and treatment, have regular prenatal examinations, develop reasonable treatment plans and delivery methods, and decide whether to remove the fibroids at the same time if a cesarean section is performed. This can also prevent miscarriage, postpartum hemorrhage, malposition of the fetus, and uterine rupture.

For patients with adenomyosis who no longer have fertility requirements, it is best to have a total hysterectomy and try to preserve the ovaries. If the patient has pelvic endometriosis, the lesion will be removed as much as possible while preserving ovarian function, allowing the patient to enter natural menopause. For those who wish to have children, hormone treatment can be used for 6 to 12 months, and then the medication can be stopped in the hope of conceiving in the short term. If it is discovered during surgical exploration, consideration should be given to removing the adenomyoma and preserving the uterus.

Through this article’s introduction to adenomyosis with adenomyoma, I believe that female friends should all know what this disease is. In our lives, if we want to treat adenomyosis with adenomyoma, it is usually treated through surgical resection, but what we need to know is the post-operative care to avoid the occurrence of inflammation.