Does adenomyosis cause dysmenorrhea?

The occurrence of adenomyosis is very terrible and will bring serious troubles to the patient's life, so we should treat it in time to avoid the deterioration of the disease. So, isn't adenomyosis dysmenorrhea?

There are many symptoms of adenomyosis, and the symptoms vary from person to person. Some patients with adenomyosis do not experience dysmenorrhea. Let's take a look at the clinical manifestations of adenomyosis:

1. Symptoms

1. Menstrual disorders: About 30% to 40% of patients with adenomyosis will experience menstrual disorders, mainly manifested as prolonged menstruation and increased menstrual volume. Some patients may also experience bleeding before and after menstruation, and severe patients may develop anemia.

2. Dysmenorrhea: Characterized by secondary progressive dysmenorrhea. It usually occurs one week before menstruation and is relieved when menstruation ends. Taking painkillers can relieve dysmenorrhea in the early stage, but as the disease progresses, the dose of painkillers required for dysmenorrhea increases significantly, making it unbearable for patients. However, some patients do not have dysmenorrhea.

3 Others: About 35% of female patients with adenomyosis may not have obvious symptoms, which can easily lead to worsening of the disease.

2. Physical signs: Gynecological examination shows that the uterus is often uniformly enlarged and spherical, and adenomyoma may appear as hard nodules. The uterus is generally not more than 12 weeks of gestation. The uterus is tender near the menstrual period; during the menstrual period, the uterus is enlarged, the texture becomes soft, and the tenderness is more obvious than usual; after the menstrual period, the uterus shrinks. The uterus often adheres to the surrounding rectum, especially the posterior rectum, and has poor mobility. 15%~40% of endometriosis is combined with uterine fibroids, and about half of them are combined with uterine fibroids.

Is it good for adenomyosis to not have dysmenorrhea? Dysmenorrhea is not the main criterion for diagnosing adenomyosis, so we must go to the hospital for examination and scientific treatment in time according to our own situation.