Adenomyosis occurs when endometrial tissue grows into the muscular wall of the uterus. There are two types: diffuse, where tissue is scattered throughout the wall, and focal, where it grows in specific locations. Symptoms include pelvic pain, enlarged uterus, abnormal bleeding, and painful periods. Ultrasound can detect an enlarged uterus without masses and small cysts in the wall. Treatment options include hormone therapy, while hysterectomy provides the most effective treatment by removing the affected uterus.

1. Aqib Umair
MID-3

2. ADENOMYOSIS

3. Adenomyosis
 Adenomyosis occurs when endometrial tissue
invade and grows into the muscular wall
(myometrium) of the uterus.

4. Adenomyosis

5. Types
 Diffused
The endometrial tissue is scaterd in
the myometrium
 Focal
The endometrial tissue grows at specific
place in myometrium

6. Diffused & Focal

7. Causes of Adenomyosis
 Heredity
 Trauma
 Hyperestrogenemia
 Viral transmission

8. Signs and symptoms
 Pelvic pain
 Diffusely enlarged uterus
 Secondary dysmenorrhea
 Abnormal uterine bleeding
 Tenderness during menstruation
 Hyperemic flow
 Thickend uterine walls

9. sonography
 The Enlarged uterus without focal mass
 Typical finding is the presence of small
myometrial cyst
 myometrium with ill-defined border
 endometrium displacement
 Small blood containing spaces in uterus can
be seen

15. Differential Diagnosis
 Sometimes Uterine fibrioids can be confused
with Adenomyosis
 Fibroids have well circumscribed margins
but Adenomyosis have less circumscribed
 Fibroids appears more regular than
Adenomyosis

16. one is Adenomyosis & other is Fibroid

17. Treatment
 Harmone therapy
 Hysterectomy is the successful treatment

18. Overview
 Adenomyosis is endometrial growth into
myometrium
 Types Diffused & Focal
 Sign and symptoms
 Sonographicaly
 Differential Diagnosis