Adenomyosis
What Is Adenomyosis?
Adenomyosis refers to a gynaecological ailment in which the inner lining of the uterus, known as endometrial tissue, extends into the muscular wall of the uterus. This tissue undergoes thickening, breakdown, and bleeding during the menstrual cycle, leading to the enlargement of the uterus to two or three times its typical size. The associated menstrual cramps and bleeding typically surpass the intensity of a regular menstrual period.
This disorder impacts the reproductive system and typically manifests during the years of childbearing, and occasionally extends beyond that period. The majority of diagnoses are made in women aged 32-38. Those who have experienced at least one full-term pregnancy face an increased likelihood of developing adenomyosis. It is frequently mistaken for uterine fibroids, despite the distinction between the two conditions.
Symptoms
The indications of adenomyosis may commence with mild and inconspicuous manifestations, progressing in intensity, thereby impacting menstrual patterns, fertility, and overall well-being. Approximately one-third of women may remain asymptomatic. Conversely, in some instances, the symptoms can be markedly distressing and incapacitating. Typical signs of adenomyosis include:
- Abdominal pressure or bloating
- Birth control
- Painful periods
- Pelvic pain
- Enlarged uterus
Risk Factors of Adenomyosis
While the precise cause of adenomyosis remains uncertain, it is predominantly observed in women in the later stages of their childbearing years, typically between the ages of 35 and 50. Other factors that might elevate the risk of developing adenomyosis include:
Common Risk Factors:
- History of uterine surgeries such as C-section, fibroid removal, or dilation and curettage (D&C)
- Extended exposure to estrogen
- Multiple occurrences of pregnancies
Adenomyosis Causes
Initiating the diagnosis of adenomyosis involves arranging an appointment with your OBGYN, who will conduct a medical history review and perform a physical and pelvic examination. If there is any tenderness or a slight enlargement of the uterus detected, additional testing may be considered by your doctor. Distinguishing adenomyosis from other reproductive tract conditions can be challenging due to similar symptoms. Physicians at fibroid clinics excel in the diagnosis and treatment of adenomyosis, utilizing advanced technology and techniques, including:
Common Causes:
- Development during foetal stages
- Inflammation resulting from uterine surgery
- Invasive growth of tissue are potential factors associated with adenomyosis
Adenomyosis Vs. Uterine Fibroids
Distinguishing between adenomyosis and uterine fibroids can be perplexing. Adenomyosis involves the growth of endometrial tissue into the muscular wall of the uterus, while uterine fibroids are benign tumours comprising fibrous tissue and smooth muscle cells that develop within or on the uterine walls. Both conditions commonly manifest during a woman’s childbearing years and exhibit similar symptoms, including heavy menstrual bleeding and pain. Fibroids come in a range of sizes, spanning from the dimensions of a pea to as large as a melon, and they can develop either individually or in groups. These growths possess the capability to harm adjacent organs, and both fibroids and adenomyosis can have implications for fertility. If there’s uncertainty about whether you are grappling with adenomyosis or uterine fibroids, maintaining a record of all your symptoms is vital. This record aids your doctor in delivering a precise diagnosis and ensures timely administration of appropriate treatment.
Do You Experience Symptoms of Fibroids?
Adenomyosis Diagnosis
Initiating the diagnosis of adenomyosis involves arranging an appointment with your OBGYN, who will conduct a medical history review and perform a physical and pelvic examination. If there is any tenderness or a slight enlargement of the uterus detected, additional testing may be considered by your doctor. Distinguishing adenomyosis from other reproductive tract conditions can be challenging due to similar symptoms. Physician at Fibroid Clinic excel in the diagnosis and treatment of adenomyosis, utilizing advanced technology and techniques, including:
Diagnostic Tests & Screenings
- Endometrial biopsy
- Ultrasound
- MRI
Uterine Artery Embolization
Physicians at fibroid clinics provide top-notch and thorough care for individuals experiencing adenomyosis. They specialize in conducting Uterine Artery Embolization (UAE), a minimally invasive, image-guided procedure designed to alleviate the painful symptoms associated with adenomyosis. While UAE is commonly employed to address symptomatic fibroids, it has proven to be an effective treatment for women with adenomyosis as well. This procedure is performed in a secure and convenient outpatient setting, aiming to preserve the uterus and obviate the necessity for traditional surgery.
In the UAE procedure, an Interventional Radiologist at the fibroid clinic employs ultrasound guidance to introduce a needle and catheter into either the larger artery in the leg (femoral artery) or a small artery in the wrist (radial artery). The catheter is then threaded through the uterus, and embolic beads are injected into the uterine arteries to displace the endometrial tissue responsible for adenomyosis. As the procedure doesn’t require a hospital stay, you can return home a few hours after completion, and a complete recovery is typically anticipated within two weeks. Most patients report symptom relief and a return to normal menstruation between three and six months after the procedure.
What to Expect from Your Adenomyosis Treatment
- Minimally invasive compared to conventional surgery
- Uterus preservation
- No hospital stay required
- Relief from painful symptoms
Adenomyosis FAQ
Adenomyosis and endometriosis are distinct yet comparable conditions. The primary distinction lies in the location and manner of displacement of the endometrial tissue (endometrium). Endometriosis occurs when the endometrial lining is situated outside the uterus, whereas adenomyosis involves the growth of the uterine lining into the uterine muscle. Both conditions can result in highly painful periods and, in certain instances, contribute to infertility. Due to their similarities, it is common for patients to remain undiagnosed or receive inaccurate diagnoses for extended periods. Instead of enduring the pain, it is advisable to promptly discuss your symptoms with your doctor.