Adenomyosis is where the tissue from the lining of womb penetrates into the muscle.
it can occur in the younger woman but is more common in women who have had children.
Adenomyosis is often responsible for heavy, painful periods and for the younger patient can be responsible for infertility.
it is sometimes difficult to diagnose adenomyosis as it can be confused with fibroids and or endometriosis. The final diagnosis is often made on histology after hysterectomy. As not all women are at a stage where they can have a hysterectomy or for women who do not want to have hysterectomy other therapies are available.
Medical management may be with:
hormonal therapy
Mirena IUS
or simple painkillers during the period time.
Some women may consider surgery. Laparoscopic surgery is probably the best remove the adenomyosis. The surgery is performed in a similar way to laparoscopic myomectomy, but because the margins of adenomyosis within the uterus is not as well defined as fibroids usually are, some of the adenomyotic tissue may be left behind. For some women this will provide symptomatic relief of their symptoms till they have finished having children and may then go on to have a hysterectomy.
it can occur in the younger woman but is more common in women who have had children.
Adenomyosis is often responsible for heavy, painful periods and for the younger patient can be responsible for infertility.
it is sometimes difficult to diagnose adenomyosis as it can be confused with fibroids and or endometriosis. The final diagnosis is often made on histology after hysterectomy. As not all women are at a stage where they can have a hysterectomy or for women who do not want to have hysterectomy other therapies are available.
Medical management may be with:
hormonal therapy
Mirena IUS
or simple painkillers during the period time.
Some women may consider surgery. Laparoscopic surgery is probably the best remove the adenomyosis. The surgery is performed in a similar way to laparoscopic myomectomy, but because the margins of adenomyosis within the uterus is not as well defined as fibroids usually are, some of the adenomyotic tissue may be left behind. For some women this will provide symptomatic relief of their symptoms till they have finished having children and may then go on to have a hysterectomy.
uterus with adenomyosis being removed with harmonic scalpel
during removal of adenomyosis. It should be noted that the adenomyoma is not as smooth as a fibroid
uterus repaired laparoscopically after removal of the adenomyosis
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