Does adenomyosis cause pelvic mass?

Adenomyosis may cause pelvic masses, but the specific situation depends on the patient's condition. It is recommended to see a doctor as soon as possible for a clear diagnosis. The masses caused by adenomyosis are usually related to the enlargement of the uterus and the expansion of the lesion range, and may also coexist with other pelvic lesions. Treatment may include medication to control symptoms and surgical removal of lesions.

1 Causes of pelvic mass caused by adenomyosis

Adenomyosis refers to a lesion caused by the endometrial glands and stroma breaking through the boundary between the endometrium and the myometrium and invading the myometrium, which causes the uterus to increase in size and even become spherical. It may appear as an irregular mass when palpated. Some patients with adenomyosis have obvious uterine hyperplasia and fibrosis, and these pathological changes may also form a pelvic mass. Adenomyosis is easily accompanied by uterine fibroids or ovarian cysts, which may also cause pelvic masses. Environmental factors such as repeated intrauterine surgery and fluctuations in hormone levels, combined with differences in the patient's own physical constitution, will aggravate the progression of adenomyosis.

2. Diagnosis of pelvic mass caused by adenomyosis

In most cases, the diagnosis can be confirmed by imaging examinations. Ultrasound examination is the preferred method for adenomyosis, which can observe whether the size and shape of the uterus are abnormal. Magnetic resonance imaging (MRI) can more accurately determine the scope of adenomyosis lesions and help to distinguish other similar diseases such as fibroids or tumors. If other lesions are suspected, chest and abdominal CT examinations may also be required to determine whether the mass has malignant characteristics.

3 Treatment methods and suggestions

For adenomyosis and an associated pelvic mass, treatment is based on the patient's age, reproductive desires, and severity of the condition:

Medical treatment: This includes hormone medications such as GnRH agonists to help control pain and reduce the size of the uterus. This type of medication is usually suitable for patients with mild symptoms.

Surgical treatment: such as uterine preservation for patients who want to have children or total hysterectomy for postmenopausal patients or patients with severe disease who have not responded to other treatments. Surgery can effectively remove adenomyosis lesions and completely eliminate pelvic masses.

Auxiliary treatment: A low-fat, high-fiber diet is recommended; regular gentle exercise such as yoga or brisk walking can improve immune function and relieve symptoms.

If a pelvic mass is found, you need to be alert to the possibility of adenomyosis or other related diseases. You should seek medical attention as soon as possible for further examination, a clear diagnosis and treatment to prevent the disease from continuing to deteriorate and affecting your quality of life.