Adenomyosis is a condition in which the inward covering of the uterus (the endometrium) gets through the muscle mass of the uterus (the myometrium). Adenomyosis can bring about menstrual issues, abdominal pain, and bloat before menstrual periods and can bring about heavy and painful periods. It can also cause longer than expected menstrual bleeding. The condition can be situated all through the whole uterus or can be localized in one spot. It
The exact reason for this condition is obscure. Nonetheless, it’s more regular in ladies with expanded levels of estrogen. Adenomyosis ordinarily vanishes after menopause (12 months after a lady’s last menstrual period). This is when estrogen levels decrease.
There are a few hypotheses about what causes adenomyosis. This include:
Additional tissues in the uterine wall which appear before birth that develops amid adulthood
- Intrusive development of abnormal number of tissues (called adenomyoma) from endometrial cells getting into the uterine muscle — this might be because of a cut made in the uterus amid surgery, (due to cesarean delivery)
- Presence of stem cells in the uterine wall muscle
- Inflammation of the uterus that happens after labor — this may break the cells that line the uterus
Risk Factors For Adenomyosis
The main cause of this condition is unknown but they are certain risk factors which might lead to this condition. The following are the risk factors for adenomyosis:
- Middle aged women are at greater risk ( between 40-50 years before menopause)
- Giving birth to many children
- Having cesarean delivery or surgery done to remove fibroids
Adenomyosis Symptoms Include:
In some women adenomyosis can be quite painful which ranges from mild to severe symptoms but in some women adenomyosis symptoms does not appear at all. Most of the symptoms include:
- Menstrual cramps for prolonged period of time
- They are also spotting in between periods
- Prolonged and heavy menstrual bleeding
- Longer duration of menstruation
- Bloating during menstrual periods
- Pain during intercourse
- Heavy abdominal pain and pressure
As of not long ago, the main complete approach to analyzing adenomyosis was to play out a hysterectomy and look at the uterine tissue under a magnifying lens. Be that as it may, imaging innovation has made it workable for specialists to perceive adenomyosis without surgery. Utilizing X-ray or transvaginal ultrasound, specialists can see attributes of the illness in the uterus.
In the event that a specialist speculates adenomyosis, the initial step is a physical exam. A pelvic exam may uncover an expanded and delicate uterus. An ultrasound can permit a specialist to see the uterus, it is coating and its strong divider. Despite the fact that ultrasound can’t authoritatively analyze adenomyosis, it can preclude different conditions with comparable indications.
Another system in some cases used to assess the manifestations connected with adenomyosis is Sonohysterography. In Sonohysterography, a saline arrangement is infused through a little tube into the uterus before an ultrasound is given.
Since the manifestations are so comparable, adenomyosis is regularly misdiagnosed as uterine fibroids. Nonetheless, the two conditions are not the same. While fibroids are masses of tissue joined to the uterine divider, adenomyosis is a development inside the uterine divider. A precise diagnosis is enter in picking the right treatment.
Pharmacologic Treatment For Adenomyosis:
They are the variety of treatment options available for treating symptoms of Adenomyosis. It can be treated depending upon the severity of patient’s condition.
- NSAIDS- These drugs are prescribed to avoid painful menstruation which is started one or two days before periods and continued through the period cycle.
- Hormonal Therapy- They is a use of oral contraceptive and also in the form of injection, intrauterine devices and also GnRH analogs such as leuprolide. Use of hormonal therapy helps to control the increased level of estrogen.
- Ablation of Endometrium- In this technique they are removal of the endometrium with the short time of recovery but this procedure may not work for all patient who is suffering from adenomyosis.
- Uterine Artery Embolization- In this procedure, they are prevention of supply of blood by certain arteries in the affected area which cut off the blood supply and also shrinks adenomyosis. This process is done to treat another condition called uterine fibroids which avoid scar formation in the uterus.
Home Remedies For Adenomyosis:
They are certain home remedies which are quite effective for treating adenomyosis:
- Use of castor oil by soaking a cloth in it and placing it over the skin increases circulation of blood and also boost healing process of the individual.
- Drinking ginger tea everyday helps in normal functioning of the uterus because ginger has got anti-inflammatory properties which aid in the healing of the uterus.
- Pinch of turmeric in a warm glass of milk reduces inflammation and pain because turmeric is regarded as the magical remedy of the kitchen.