Adenomyosis, also known as intrauterine endometriosis, is the invasion of the endometrium into the uterine muscle wall. It is more common in women aged 30 to premenopausal women. The clinical manifestation is dysmenorrhea. You may be wondering, isn't dysmenorrhea a physiological phenomenon that most women experience? 1. Dysmenorrhea is accompanied by progressive aggravation, abnormal menstruation, infertility, dyspareunia, pelvic pain, low fever, increased leucorrhea and menstrual pain. The cause of dysmenorrhea may be that the ectopic endometrium bleeds with the changes in the ovaries, resulting in increased local pressure outside the lesion, and the surrounding smooth muscle tissue is stimulated to spasm and contract, causing pain. 2. Gynecological examinations often reveal an enlarged uterus, which is enlarged during or before and after menstruation and gradually shrinks. However, it should not exceed the size of a 3-month pregnancy. If it is larger than 3 months, it often indicates complications. 3. As for the cause of menorrhagia, although the traditional view is that the increase in uterine volume and endometrial area can increase the chance of bleeding, the current clinical observation shows that the uterus of adenomyosis is often smaller than the size of a 3-month pregnancy. Some patients may also experience spotting before and after menstruation, and severe patients may develop anemia. 4. Adenomyosis can also cause infertility. In recent years, with the widespread use of intrauterine operation technology, some young women aged 16-30 have also developed the disease, and women of childbearing age can also suffer from infertility. |
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