Is adenomyosis common?

Is adenomyosis common?

1. The incidence of adenomyosis ranges from 8% to 27%, because it can only be confirmed by gross and microscopic examination after hysterectomy or hysterectomy. It mostly occurs in women who have given birth after the age of 40. It can coexist with external endometriosis.

2. Experts say that although the incidence of adenomyosis is relatively high, many women do not know much about the pathogenesis and pathology of this disease. It is generally believed that trauma to the uterine wall during multiple pregnancies and childbirth and chronic endometritis may be the main causes of this disease. Some scholars also believe that it may be related to high estrogen stimulation. Women who have increased menstruation and progressive dysmenorrhea should consider the possibility of this disease.

3. This disease can also lead to infertility. When doctors examine the abdomen, they usually find that the uterus is uniformly enlarged, or there are localized nodules, which are hard and painful to press. B-ultrasound can usually make a diagnosis. Magnetic resonance imaging is currently the most reliable and non-invasive method for diagnosing adenomyosis.

4. If adenomyosis is not treated in time, it is very likely to cause female infertility. For young women who want to have children, they should first consider treatments other than surgery, such as drug therapy, but drug therapy also has certain side effects.

5. When drug treatment is ineffective or there is long-term severe dysmenorrhea, surgical treatment should be performed. If the patient has no fertility requirements, the lesions are extensive, the symptoms are severe and conservative treatment is ineffective, there are uterine fibroids or high-risk factors for endometrial cancer, hysterectomy is appropriate. In addition, to avoid residual lesions, total hysterectomy is the first choice, and partial hysterectomy is generally not recommended.