Typical symptoms of adenomyosis include progressively worsening dysmenorrhea, increased menstrual flow, and long-term abdominal pain. If these symptoms occur, it is recommended to seek medical attention as soon as possible and obtain a clear diagnosis through B-ultrasound or MRI. Adenomyosis is a chronic disease caused by the invasion of endometrial glands and stroma into the myometrium, and is common in women aged 30-50. Dysmenorrhea is the most significant manifestation, usually secondary dysmenorrhea that is difficult to relieve, and the pain gradually worsens as the disease progresses, and may spread to the lower back. Increased menstrual flow is often accompanied by prolonged menstruation, and some patients may also experience irregular bleeding before and after menstruation. Some patients may continue to feel bloating or pain in the lower abdomen, especially after sexual intercourse. If the course of the disease is long, it may also cause anemia, fatigue and other systemic discomfort symptoms, affecting the quality of life. To relieve these symptoms, drug therapy is a common method, such as oral short-acting contraceptives to relieve dysmenorrhea, GnRH agonists to effectively inhibit endometrial growth, and levonorgestrel intrauterine sustained-releasing system (Mirena) to relieve dysmenorrhea and heavy menstrual flow. For patients with severe symptoms or ineffective medication, surgery can be considered, such as uterine artery embolization, uterine-preserving lesion resection, and complete uterine removal. Regardless of which method is chosen, the most suitable treatment plan for the condition must be selected under the guidance of a doctor. To prevent symptoms from getting worse, patients should pay attention to a balanced diet, avoid high-fat diets, and appropriately increase iron-rich foods such as lean meat and spinach to cope with anemia caused by menorrhagia. Moderate participation in gentle exercise such as yoga or walking can help relieve dysmenorrhea and improve mood. If symptoms change significantly, patients should be reviewed in a timely manner, and the disease should be monitored regularly to ensure timely treatment. |
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