From the perspective of disease definition, adenomyosis is a gynecological disease in which the endometrium invades the muscular layer from the endometrial layer and then grows widely in the muscular layer. In other words, the endometrium grows into the myometrium. From the perspective of endometrial invasion, adenomyosis is very similar to endometriosis.

 

Because both belong to endometriosis in other places, but adenomyosis is endometriosis in the myometrium, and endometriosis is endometriosis to the pelvic cavity, ovary, and other parts.

 

 

The clinical manifestations of adenomyosis can be described in three aspects:

 

First, patients will have dysmenorrhea to varying degrees. This is very similar to endometriosis and will also show secondary dysmenorrhea, progressive aggravation;

 

Second, it will show an increase in the size of the uterus. This is somewhat similar to hysteromyoma, but the difference is that hysteromyoma is a local lump of the uterus, while adenomyosis will show a diffuse enlargement of the uterus;

 

Third, patients can show irregular menstruation, mainly menstrual disorders, such as prolonged menstrual cycle disorders. These are typical clinical manifestations of adenomyosis, but they are not specific.

 

 

The pathogenesis of adenomyosis is not very clear at present. Some studies believe that it may be related to the operation of the uterine cavity, especially the hysteroscopy operation and delivery. These effects on the endometrium cause the barrier between the endometrium and the myometrium to be destroyed and then allow the reverse growth of the endometrium.

 

Of course, some studies also believe that it may be related to the increase of pressure in the uterine cavity, especially during labor, because the uterine contraction leads to the invasion of the endometrium along the stroma and finally forms adenomyosis.

 

 

The current prevention and treatment strategies for adenomyosis are also mainly from the incentives. As mentioned earlier, adenomyosis may be related to improper uterine cavity operation. If you don't want to be visited by adenomyosis at ordinary times, you must do a good job of personal uterine cavity care. Reduce the damage to the endometrium of the uterine cavity, such as abortion and cesarean section. Those who can deliver naturally will accept natural delivery as much as possible.

 

In fact, the endometrium is inherently fragile. Frequent uterine cavity operations will also bring other effects to the uterine cavity of patients, such as uterine cavity adhesion. Therefore, without too much intervention in the uterine cavity, it is an effective means to prevent and treat adenomyosis.

 

For the confirmed adenomyosis, we need to take active treatment. There are many treatment methods for adenomyosis, and individual selection should be made according to the patient's age, symptoms, and fertility requirements. Patients can first choose medication, such as Fuyan Pill, to eliminate dysmenorrhea and other symptoms and inhibit the development of adenomyosis. Surgical treatment is also an option if the patient's symptoms are severe.