2. In layman's terms, adenomyosis is a
condition in which the endometrium,
which is supposed to encircle and
sprout from the uterus, runs into the
muscular layer of the uterus. And
cause the endometrial tissue in the
muscular layer of the uterus to start
bleeding every time a menstrual
period comes.
3. This process and an inflammatory reaction occur at
the site of bleeding in the muscular layer, which in
turn fibrosis—it causing increased peristalsis or
peristaltic disturbances in the uterus, preventing
sperm transport or embryo implantation.
4. Are all patients with adenomyosis
infertile? OF course not! It is
common for people with
adenomyosis to conceive
successfully and have children.
According to some experts, the
chance of infertility in adenomyosis
patients is 30%, and most patients
can conceive naturally.
6. When adenomyosis is not severe, get pregnant
as early as possible. Adenomyosis is an
estrogen-dependent disease that is very
difficult to reverse once it occurs. It will
become more powerful as we age, which is
very tricky.
7. So who is more
likely to develop
adenomyosis?
Those with primary
dysmenorrhea are
more likely to get
adenomyosis
and endometriosis.
These people are more
likely to have children
earlier.
8. If adenomyosis has already
occurred, women are unsuccessful
in trying to conceive, or women
have repeated miscarriages, they
should consider the cause of
adenomyosis.
9. Women can start with medication,
such as the herbal medicine Fuyan
Pill, which can effectively activate
blood, remove blood stasis, and
unblock the meridians. The main
ingredient is natural herbs, so they
will not harm the body, and long-
term use can also regulate the body.
It can also increase the probability
of natural pregnancy after cure.
10. Surgery can be considered. The more
severe adenomyosis, the giant uterus, drug
treatment, and physical treatment
methods, it is difficult to improve the
symptoms and the impact on pregnancy.
Patients can consider surgery to reduce
the size of the uterus after surgery
improves the success rate of pregnancy.
11. Adenomyosis infertility is also
one of the indications for IVF. If
women cannot get pregnant after
medication, surgery, or ovulation
treatment or are relatively old,
women can actively consider IVF
to help women conceive.
13. What causes the displacement of
these "endometrium"? The
endometrium is directly above
the myometrium and lacks the
protection of a submucosal layer,
making it anatomically easy for
the basal endometrium to invade
the myometrium.
Adenomyosis is related to the restless endometrium.
14. Multiple pregnancies and deliveries, abortions, curettage,
chronic endometritis, etc., can cause damage to the
endometrium or superficial myometrium.
The basal endometrium may
invade the myometrium to
grow and develop. In addition,
studies have shown that the
onset of adenomyosis is related
to estrogen and progesterone
in the body and even to
immune and genetic factors.
15. What are the clinical
manifestations of
adenomyosis?
16. In addition to dysmenorrhea, excessive menstrual flow and
irregular uterine bleeding are also standard, and in severe
cases, secondary anemia may occur.
Excessive menstrual flow is
usually characterized by heavy
bleeding for several consecutive
menstrual cycles, more than 80
ml, and affects the quality of life
of women physically,
psychologically, socially, and
economically. The incidence of
pressure symptoms, miscarriage,
and infertility is low.
17. On examination, a uniformly
enlarged uterus can be
palpated with pressure pain,
more pronounced at the onset
of menstruation. In the case of
adenomyoma, the uterus is
asymmetrically enlarged with a
bit of a bulge.
