Adenomyosis

What is Adenomyosis?
Adenomyosis is a condition of the uterus (womb) where the cells that normally form a lining on the inside of the uterus also grow in the muscle wall of the uterus.
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What are the signs and symptoms?
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The most common symptoms are:
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Abnormal or heavy menstrual bleeding.
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Painful periods, often after years without pain.
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Pain with intercourse (dyspareunia).
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Bleeding between periods.
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On vaginal examination, the uterus feels enlarged and is often tender to touch.
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Excessive menstrual bleeding can lead to symptoms of anaemia (deficiency in the number of red blood cells) or iron deficiency such as:
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tiredness
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dizziness
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How is it diagnosed?
Adenomyosis may be difficult to diagnose. The main test recommended is a transvaginal ultrasound (the ultrasound probe is placed in the vagina).
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What is the treatment for Adenomyosis?
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Adenomyosis is difficult to treat and it will disappear after menopause so management will depend on your life stage. The following are some treatment options:
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Hysterectomy.
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IUD insertion (such as a mirena).
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GnRH agonists (an artificial hormone used to prevent natural ovulation).
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