时期，时期。虽然很少的女人真的很喜欢常规时期, a bigger issue can arise if you experience heavy, painful ones. There are many factors that can cause irregular bleeding and debilitating cramps, but what if all those have been ruled out? One diagnosis that can be overlooked is a condition called adenomyosis. You may be thinking, “Adeno-what?”
What is adenomyosis?
Adenomyosis is a common disorder that affects roughly 20 to 35 percent of women. It can cause heavy, irregular and painful periods, similar toendometriosis和fibroids. In fact, some people often refer to adenomyosis as the red-headed cousin of endometriosis.
“Whereas endometriosis grows outside of the uterus, adenomyosis grows into the wall of the uterus and thickens it,” saidNichole Mahnert, MD, an OBGYN at theBanner – University Medicine Women’s Institutein Arizona. “The uterus is made up of glandular and muscular tissue, and adenomyosis is like an abnormal growth of the glandular tissue.”
随着子宫壁变厚，它可能导致更重，更长的月经出血，痉挛和pain during sex.
子宫腺肌症的原因是什么,可能我be at risk?
仍然不太了解为什么有些女性比其他女性更容易受到伤害，但最常发生在您的生殖年中。
“There are no risk factors, but we do see this diagnosis more commonly among women who’ve had children in the past, who’ve had prior uterine surgeries and with other gynecological conditions such as endometriosis and fibroids,” Dr. Mahnert said.
Are heavy bleeding and cramping the only symptoms I should look out for?
Heavy bleeding and painful cramps are the most typical symptoms, but about one-third of women with adenomyosis don’t have any symptoms at all. Some women may also experience pelvic pain and pain during sex.
How is adenomyosis diagnosed?
The frustrating thing about adenomyosis is determining if you have it or not, which sometimes may involve invasive methods, such as during a hysterectomy. But today, a clinical diagnosis based on symptoms and医学影像(ultrasound and MRI) is also possible.
What are my treatment options?
When adenomyosis is diagnosed, you may find some symptom relief with hormonal birth control and pain medication. “Hormonal suppression is a mainstay of treatment to treat heavy bleeding and painful periods,” Dr. Mahnert said. “A Mirena IUD is a great option, since it lasts for at least five years and you don’t have to remember to take anything.”
If you aren’t finding relief from medical treatments, the only definitive treatment for severe adenomyosis is ahysterectomyto remove the uterus. Without surgery, however, symptoms often go away with menopause, according to theNational Institutes of Health.
Will it affect my ability to get pregnant?
“Adenomyosis can be associated with difficulty inbecoming pregnant, but is not a common cause of infertility,” Dr. Mahnert said.
If you would like to have a baby and have adenomyosis, it’s best to speak with yourOBGYNor a fertility specialist. To find a Banner Health specialist near you, visitbannerhealth.com.
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