Treatment of adenomyosis of the uterus
Adenomyosis of the uterus is a pathological process which violates the function of the reproductive system. The mucous membrane of the uterus – the endometrium – becomes inflamed and begins to sprout into the inner tissues, where it is undergoing the same hormonal changes as well as normal endometrium. As a result, the womb cannot perform its functions.
Adenomyosis can appear in other parts of the body: the abdominal wall in the postoperative scars in the fallopian tubes, in the ovaries. But more common adenomyosis of the cervix and uterus.
Treatment of adenomyosis
The earlier in the treatment of adenomyosis of the uterus, the better. Work with advanced form is much more complicated. Today gynecologists use two main methods of treatment:
Involves medication and physiotherapy. Takes place in several stages:
- normalization and stabilization of the immune system women;
- normalization and stabilization of a hormonal background (reception hormonotherapy drugs).
Treatment of adenomyosis of the uterus by means of physiotherapeutic methods:
- massage uses gentle techniques);
- herbal medicine (a number of herbs enhance the immune system of the patient, normalize hormonal balance);
- when adenomiose hirudotherapy (medical leeches saliva has anti-inflammatory effect, strengthens the immune system).
The therapeutic treatment is effective for small single foci of adenomyosis. The menstrual cycle is restored after only two months. By this time the woman is able to conceive and bear children.
Used in severe cases and regular relapses. During the operation, removed the lesions and artificially restored anatomical structure of internal organs of the reproductive system.
The symptoms of adenomyosis of the uterus
The main danger of the disease lies in the fact that it can be a long time asymptomatic. While it continues to progress. Sooner or later, the pathology will manifest. The main symptoms of adenomyosis of the uterus:
- pain (of various character and intensity) a few days before menstruation and after it;
- brownish sukrovichnye discharge from the genital organs a few days before menstruation and after (first few days);
- menstrual cycle (it can become longer or shorter; the second option is more common);
- deformation of the body of the uterus (abnormal shape change, size; this characteristic can only be detected by gynecological examination);
- profuse discharge during menstruation;
- infertility (pathology prevents the fertilization of an egg, so pregnancy and adenomyosis, especially complicated by other pathological conditions that are incompatible).
These are the most common signs of adenomyosis. Not necessarily they all appear at once. The disease can occur with just one or two symptoms, happens all at once.
Diagnosis of adenomyosis
The disease can be diagnosed by the following methods:
1.A gynaecological examination.
Allows to define the size and position of the uterus, its shape, consistency, mobility, nature of the surface, condition of appendages, the presence of tumor formation, adhesions and pain. Valuable diagnostic information also provides a visual assessment of the vaginal vault cervical, parametrial, recto vaginal tissue, and the Sacro-uterine ligaments.
One of the most informative methods is transvaginal ultrasonography. Currently define the following sonographic signs of adenomyosis:
- areas of increased echogenicity in myometrium, anechoic areas in it, or cystic cavity, which containsfine slurry;
- asymmetric thickening of the wall of the uterus, increasing its anteroposterior size;
- the graininess and the presence of thickenings in the basal layer of the endometrium;
- the rounded shape of the body of the uterus.
Thus, the method of transvaginal sonography allows not only to detect adenomyosis on ultrasound, but also to identify its main echographic signs that are of great value to determine treatment methods and predict outcomes.
This examination of the uterine cavity through a hysteroscope. Allows you to specify the data transvaginal ultrasound.
Involves the use of water soluble contrast agents. Allows you to determine the patency of the fallopian tubes, the condition of the uterus, presence of adhesions.