Specific symptoms of adenomyosis

The female uterus is very susceptible to inflammation, and the uterus itself is also prone to disease. Especially with the widespread abortion nowadays, this has led to serious damage to the female uterus and caused many uterine diseases, adenomyosis being one of them. In the past, adenomyosis usually occurred in women over 40 years old, but nowadays the disease has become younger.

The causes of adenomyosis are clinically divided into several factors, including genetics, uterine damage, viral infection, and excessive estrogen, all of which may lead to the occurrence of adenomyosis. The symptoms of adenomyosis are mainly manifested in the following points.

1. Menstrual disorders (40-50%): The main manifestations are prolonged menstrual period and increased menstrual volume. Some patients may also experience spotting before and after menstruation. This is because the uterus increases in size, the area of ​​the endometrium increases, and the lesions within the uterine muscle wall affect the contraction of uterine muscle fibers. Severe cases may lead to anemia.

2. Dysmenorrhea (25%): Characterized by secondary progressive dysmenorrhea. It often begins a week before menstruation and is relieved when the menstrual period ends. This is because during menstruation, the ectopic endometrium in the myometrium becomes congested, swollen, and bleeds under the influence of ovarian hormones. At the same time, it increases the blood volume in the myometrium blood vessels, causing the thick myometrium to expand and cause severe dysmenorrhea.

3. About 35% of patients have no obvious symptoms.

Signs

Gynecological examination shows that the uterus is often uniformly enlarged and spherical, and adenomyoma may appear as hard nodules. The uterus is generally no larger than 12 weeks of pregnancy. As menstruation approaches, the uterus feels tender; during menstruation, the uterus enlarges, becomes softer, and the tenderness is more obvious than usual; after menstruation, the uterus shrinks. This periodic change in physical signs is one of the important bases for diagnosing this disease. The uterus is often adhered to the surrounding area, especially the rectum at the back, and has poor mobility. About 15-40% of patients have concomitant endometriosis, and about half of patients have concomitant uterine fibroids.

After understanding the symptoms of adenomyosis, I hope that all female friends can pay attention to the fact that the recurrence rate of this disease is relatively high. Therefore, if you find that you have adenomyosis, you must actively seek treatment and pay attention to maintaining vaginal hygiene after treatment, otherwise it will easily lead to the recurrence of adenomyosis.