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Can Childbirth Worsen Adenomyosis?

Adenomyosis is a lesion that occurs when the endometrial glands and interstitium invade and grow into the myometrium of the uterus. The main symptoms are increased menstruation, prolonged periods and progressive dysmenorrhea, which can lead to miscarriage or infertility. It occurs mainly in menstruating mothers aged 30-50, with a prevalence of 7%-23%, about 15% combined with endometriosis, and about half combined with uterine fibroids. It has a severe impact on the physical and mental health of patients.

Can childbirth alleviate adenomyosis?
When a patient with adenomyosis becomes pregnant, menstruation stops, and the patient does not experience menstrual pain because the estrogen level decreases during pregnancy. The ectopic endometrium also stops growing and shrinks to a certain extent, providing a certain degree of relief and control of the adenomyosis condition.
The effect of pregnancy in alleviating adenomyosis is similar to drug therapy. Pregnancy is more effective than medication in controlling adenomyosis because the gestation period is 10 months long.
Is adenomyosis worse after childbirth?
It is not absolute that adenomyosis cures itself after pregnancy and childbirth, but the patient does not have menstruation without symptoms during pregnancy. However, after delivery, the menstruation may recover, and the adenomyosis may recur or even worsen.
Therefore, it is recommended that patients continue to monitor their condition after childbirth; if they find any disease recurrence, they should be promptly admitted to the hospital for examination and treatment.
Breastfeeding can also be done to prolong the time without menstruation. This will better relieve the condition.
What is the relationship between childbirth and adenomyosis?
Generally speaking, natural childbirth does not cause adenomyosis. Most cases of adenomyosis are due to cesarean sections.
During a cesarean section, it is likely to cause damage to women’s uterine wall, allowing the blood in the uterine cavity to contain endometrium and to enter the myometrium or grow ectopically in various parts of the pelvis, thus causing endometriosis.
What else is associated with adenomyosis?
In addition, women with multiple abortions and curettage may also damage the uterine wall, causing ectopic endometrium implantation and triggering adenomyosis. It is widely believed that some uterine operations, such as cesarean section and multiple abortions, are one of the main factors that cause adenomyosis. It is also associated with genetics, endocrine disorders, viral infections, and inflammatory diseases.
Many treatment methods for adenomyosis need to be selected individually according to age, symptoms, and reproductive requirements. Most use the treatment scheme of combining surgery and drugs. For drug treatment, Fuyan Pill, a traditional Chinese medicine, can help eliminate symptoms and restore the health of your reproductive system. Severe patients can be treated surgically.
Since the cause of adenomyosis is unclear and no effective preventive measures are available, the following aspects need to be noted.

1. Do a proper child planning
Because repeated abortions, scraping, etc. may make the endometrium ectopic and cause adenomyosis. If you don’t want to have children for the moment, you should do a good job of contraception and avoid repeated abortions or scrapings.
2. Pay attention to menstrual health care
Failure to do a good health care job during menstruation may also allow the shed endometrium to enter the muscle layer and induce adenomyosis. To prevent this disease from appearing, you must do a good job of menstrual health care. For example, pay attention to personal hygiene; take proper rest and do not do strenuous exercise; control your emotions and do not sulk all the time; pay particular attention to the prohibition of sexual intercourse during menstruation.
3. Active prevention and treatment of endometritis
To prevent adenomyosis, do the prevention and treatment of endometritis. Once this disease occurs, actively apply antibiotic treatment to relieve the condition and reduce the incidence of adenomyosis.
4. Timely regulation of menstruation
You must consult a doctor when troubled by irregular menstruation, dysmenorrhea, and other problems. Early detection and treatment can prevent endometriosis hyperplasia, and the incidence of adenomyosis will also be reduced.
5. No gynecological examination during menstruation
You should avoid unnecessary gynecological examinations during menstruation; if you must, do not squeeze the uterus with force.
Adenomyosis significantly impacts women in all aspects, so it is essential to maintain a good diet and lifestyle habits to avoid the disease.
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