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Diagnosis Adenomyosis

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How Is Adenomyosis Diagnosed?

If you suspect you may have Adenomyosis, it is crucial to promptly consult with your doctor. This urgency is two fold: firstly, because Adenomyosis symptoms bear resemblance to other potentially more serious conditions like endometriosis, and secondly, early intervention for Adenomyosis can alleviate symptoms and significantly enhance your overall quality of life. At the fibroid clinic, the interventional radiologists possess extensive expertise in Adenomyosis diagnosis and employ state-of-the-art technology and techniques. In your initial consultation, we will assess your symptoms and medical history, formulating an appropriate plan of action tailored to the stage and severity of your condition. Explore the imaging tests provided by the physicians at various outpatient locations, and reach out to schedule an appointment today!

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Tests To Diagnose Adenomyosis

Diagnosing Adenomyosis in the uterus poses challenges due to symptoms that mirror those of other reproductive tract conditions such as Uterine Fibroids and Endometriosis. Initially, your doctor will conduct a pelvic exam to assess the size of your uterus and identify any irregularities. In many instances, additional tests become necessary. At the Fibroid Clinic, the physicians commonly employ ultrasound and MRI to achieve precise diagnosis of adenomyosis in women. The choice of diagnostic method is contingent upon the intricacy of the condition. Tests to ascertain the presence of Adenomyosis encompass the following:
Tests-To-Diagnose-Adenomyosis

Ultrasound

Utilizing sound waves, a transvaginal ultrasound generates images of the pelvic organs. These images may reveal thickening of the uterine walls, enabling the detection of advanced stages of Adenomyosis. Through this method, your doctor can eliminate other potential causes of your symptoms, such as uterine tumors and fibroids.

MRI

When ultrasound fails to provide a conclusive diagnosis, an MRI is often considered. This test offers a more detailed depiction of the uterus. On an MRI scan, the key indicator of Adenomyosis is a thickened junctional zone (JZ), showing a wider junction between the endometrial lining and muscle. This widening indicates the growth of the lining into the muscle, confirming Adenomyosis.

Endometrial Biopsy

While abnormal bleeding is a prevalent symptom of Adenomyosis, it can occasionally signal the presence of cancer. In certain instances, your doctor may perform an endometrial biopsy to obtain a sample of your uterine tissue, which is subsequently tested to eliminate the possibility of cancer and other grave conditions.

What To Do After You Are Diagnosed

Upon receiving a diagnosis of Adenomyosis, the next steps in managing this condition are crucial for your overall health and well-being. As Adenomyosis is not life-threatening, seeking assessment by a specialist is advisable before determining the suitability of surgery for your case. Meanwhile, there are various effective strategies to manage pain, alleviate symptoms, and impede the progression of Adenomyosis. These encompass:
  • Physical therapy, which may involve acupuncture
  • Pain management techniques
  • Specific medications, such as birth control pills
  • Adhering to an anti-inflammatory diet
  • Incorporating hormone-regulating supplements

Treatment For Adenomyosis

The optimal treatment for Adenomyosis is Uterine Artery Embolization (UAE), a minimally invasive, image-guided procedure designed to alleviate symptoms in women. In contrast to a hysterectomy, UAE conserves the uterus and involves only a small incision. This outpatient procedure, conducted by an Interventional Radiologist at the Fibroid Clinic, typically takes around 30 to 40 minutes. UAE provides several advantages:
  • Shorter recovery time compared to conventional surgery
  • No need for a hospital stays
  • Minimal risk of complications
  • Preservation of fertility
  • Effective relief from symptoms associated with adenomyosis
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