Adenomyosis
Definition
Adenomyosis is uterine thickening that occurs when endometrial tissue, which normally lines the uterus, moves into the outer muscular walls of the uterus.
Causes
The cause is unknown. Sometimes adenomyosis may cause a mass or growth within the uterus, which is called an adenomyoma.
The disease usually occurs in women older than 30 who have had children. It usually occurs in women who have not carried a pregnancy to term.
It is more likely in women with previous cesarean section or other uterine surgery.
Symptoms
- Long-term or heavy menstrual bleeding
- Painful menstruation , which gets increasing worse
- Pelvic pain during intercourse
Note: In many cases, the woman may not have any symptoms.
Treatment
Most women have some adenomyosis as they near menopause but few women have symptoms, and most women don’t require any treatment.
In some cases, pain medicine may be needed. Birth control pills and a progesterone-containing intrauterine device (IUD) can help decrease heavy bleeding.
A hysterectomy may be necessary in younger women with severe symptoms.
Prognosis
Symptoms usually go away after menopause. A hysterectomy completely relieves symptoms.