Adenomyosis of the uterus is one of the most frequent
diseases that lead to infertility in women. It can manifest itself in several
forms. Treatment in each case assigned individually based on
the clinical picture of the disease.
Adenomyosis of the uterus (another name - the internal genital endometriosis) - a pathological process, which is characterized by overgrowth
endometrium (the inner mucosal cells) in the muscle layer of the uterus.
Adenomyosis is diagnosed in almost half of the women with infertility.
When adenomyosis most typical are the following
vaginal discharge dark brown
before and after menstruation;
- heavy monthly bleeding;
- PMS medium or severe;
before the appearance of menstruation pain
the pelvic area;
- menstrual disorders, most often - a reduction of its duration;
- dyspareunia - pain during sexual intercourse;
- change in the shape and magnitude of the uterus.
The course of the disease
When adenomyosis there are processes similar to cyclic
changes in the endometrium - cell proliferation, transformation and their glandular
rejection. Since the pathological process takes place in a closed
space and rejects the tissue can not go outside during menstruation, in the
time monthly cyclic processes occur swelling of muscle tissue
layer of the uterus, and compression of the nerve endings in the affected hemorrhage
sites, resulting in the development of inflammation, edema and disorders
Adenomyosis is of three kinds:
diffuse - characterized by the presence of the blind
pockets in the endometrium, which penetrate the tissue of the uterus to different depths in
severe forms it can lead to the formation of fistulas in the pelvic cavity;
node - is characterized by infiltration
muscular uterine epithelium layer and formation of multiple different nodes
value filled brown liquid;
mixed - there are two types of pathological
Endometrial cells are in contact with the muscle layer in start
grow rapidly. Not going outside during menstruation, in the cause
exposed area of hemorrhage and the development of inflammatory processes. Accepted
distinguish several stages of disease occurrence:
Step 1: The pathological process is centered under the mucous
Step 2: Spread deep into the process in the tissue of the uterus
Step 3. Pathological changes affect the whole muscle
uterine serous layer to the outer layer.
Step 4: The involvement of serous
shell pelvis and adjacent organs.
The most common reason - getting into the fallopian tubes
and the abdomen menstrual blood with particles of the endometrium. The second
common cause is the development of the pathology of the basal layer,
in which each cycle is used for regeneration of the endometrium layer. After
careful study of clinical features the diagnosis,
projected further course of the disease, treatment, and appointed
The risk group includes women:
- It is often in stressful situations;
Leading an active lifestyle, combining
heavy loads at work and home affairs;
having a genetic predisposition to
disease, the nearest relatives with the disease;
abusing sunbathing and solarium,
and taking mud baths without consulting a doctor;
underwent uterine surgery,
including abortion and curettage after a miscarriage.
In the treatment of adenomyosis and therapeutic uses
surgical methods. Used drugs that normalize hormonal and immune
system. Methods and duration of treatment are determined individually.
The main methods of treatment:
- Electrocoagulation - removal of tumors with
an electric current.
- Embolization - overlapping of the blood vessels,
feeding the tumor, whereby the tumor gradually reduced in
- Ablation - is used in the early stages, when
no deep penetration into the muscle tissue. The essence of the procedure - the destruction
of the uterine lining.
In the initial stages of the disease can be applied hirudotherapy (treatment with leeches) and infusions of herbs for oral and
If you can help reduce the risk prevention measures
of the disease. These include:
limitation of physical activity, leading to a chronic
- decrease psycho-emotional stress;
rejection of sunbeds and long stay
in the sun;
massage and relaxation procedures to facilitate
relieve stress and normalization of the general state of the organism;
- regular checks by a gynecologist.