Adenomyosis is a prevalent yet often overlooked condition where the uterus enlarges due to the infiltration of the uterine lining into the muscle wall. During menstruation, this adenomyotic tissue swells and bleeds within the uterine wall, resulting in intense period pain, cramps and heavy bleeding. Diagnosis typically involves ultrasound or MRI scans, revealing an enlarged uterus with one wall thicker than the other.
Adenomyosis typically manifests through symptoms such as painful and heavy periods. In some cases, the enlarged uterus is palpable in the lower abdomen, exerting pressure on the bladder and bowel, leading to urinary frequency and constipation. It’s important to note that numerous women may experience no symptoms at all.
A considerable number of women endure this condition without a formal diagnosis. For many, the severity of adenomyosis-induced periods disrupts their lives, forcing them to pause their routines temporarily. It significantly impacts their work and overall quality of life. The condition’s outcomes extend to the potential development of anaemia due to excessive bleeding, resulting in extreme fatigue and diminished performance in both professional and athletic spheres.
Managing Adenomyosis
Addressing adenomyosis poses unique challenges, but effective treatments exist. The primary approach involves supportive measures, using medications to alleviate period-related discomfort. Painkillers and antispasmodic drugs, such as Mefenamic Acid, play a pivotal role in making periods less painful, while Tranexamic Acid helps reduce excessive bleeding. Another strategy involves continuous use of the mini pill or contraceptive pill, effectively halting periods and alleviating symptoms. Besides, Mirena’s intrauterine device proves valuable in significantly mitigating adenomyosis symptoms. Notably, the condition often shows improvement during and after pregnancy, as well as following menopause.
Uterine Artery Embolisation (UAE) is a less conventional but impactful treatment, typically reserved for fibroids but demonstrating efficacy in adenomyosis cases. This intervention involves blocking the uterine blood supply through a procedure conducted via the groin blood vessels. Hysterectomy, a more drastic measure, remains reserved for extreme cases where symptoms persist despite alternative treatments and the family planning is complete. By considering these varied approaches, tailored solutions can help manage adenomyosis effectively.
While several options exist for Adenomyosis treatment in London, from pain medication to minimally invasive procedures, consulting a specialist is crucial to determine the best course of action for your needs.
Risk Factors of Adenomyosis
Adenomyosis poses a risk to individuals possessing a uterus, and certain factors may increase the likelihood of developing this condition.
● If you fall within the age range of 30 to 50 years.
● If you have given birth.
● If you have undergone previous uterine surgeries like a C-section or fibroid removal.
Adenomyosis Symptoms
Adenomyosis can manifest through various symptoms that affect women’s well-being. These may encompass:
● Experiencing intense menstrual cramps.
● Dealing with substantial and prolonged menstrual bleeding.
● Noticing bloating and feeling abdominal pressure.
● Coping with persistent pelvic pain.
● Encountering discomfort during intercourse, also known as dyspareunia.
It’s crucial to be attentive to these signs, as they could indicate the presence of adenomyosis. If you notice any of these symptoms, book an appointment with a Gynaecologist for a comprehensive assessment and appropriate guidance on managing this condition.
Diagnosis tests for Adenomyosis
When a consultant Gynaecologist suspects adenomyosis, they will thoroughly discuss your symptoms and medical history with you. Subsequently, they will perform a comprehensive physical examination to assess whether your uterus exhibits signs of swelling. To further investigate and confirm the diagnosis, your consultant may suggest the following diagnostic tests:
- Ultrasound Scan
An ultrasound scan provides detailed images of the internal structures of your uterus, employing sound waves to help identify any abnormalities associated with adenomyosis.
- MRI Scan
An MRI scan employs magnetic resonance imaging to generate high-resolution uterus images. This advanced imaging technique aids in a more precise assessment of the uterine tissue, facilitating the identification of adenomyosis.
- Biopsy
In some cases, gynaecologists in London recommend a biopsy. It involves obtaining a small tissue sample from the uterine lining for further examination under a microscope. It can provide conclusive evidence of adenomyosis.
The Difference Between Endometriosis and Adenomyosis
● In endometriosis, tissue resembling the uterus proliferates in various regions of the reproductive system, such as the ovaries or fallopian tubes.
● In adenomyosis, the tissue doesn’t extend beyond the confines of the uterus; it infiltrates and enlarges the muscular walls of the uterus.
Solving the dissimilarities between these conditions sheds light on their unique characteristics and helps understand the complexities of women’s reproductive health.
My Final Verdict
If you’re experiencing painful periods, heavy bleeding, or chronic pelvic pain, adenomyosis could be the culprit. This condition, characterised by the abnormal growth of the uterine lining into the muscular wall, can significantly impact your quality of life.
Understanding your specific case is paramount. Consulting a qualified gynaecologist allows for a thorough evaluation, including discussing your symptoms, medical history and future fertility desires. Together, you can explore various treatment options, from conservative management with medication to minimally invasive procedures or, in some cases, surgery.
