Adenomyosis of the uterus

Unfortunately, women's health is very, veryfragile - women have to face a variety of diseases of the sexual sphere, both minor and rather serious. One of these serious diseases is adenomyosis. This disease represents a very real and serious danger not only for the reproductive system, but for the health of women in general. What is this disease - adenomyosis of the uterus, the treatment of which is so necessary? The very name of the disease consisted of two parts - "adeno" indicates that some glands are involved in the pathological process, and "miosis" indicates that these very glands are involved in some kind of inflammatory process. Simply put, adenomyosis is an inflammatory process that somehow depends on the activity of the glands of the sexual organs. Doctors believe that adenomyosis is nothing but one of the types of endometriosis, but it involves the muscular layer of the uterus body in the pathological process. It is because of this that adenomyosis has yet another simplified name - genital internal endometriosis. What is the disease itself? In the tissues of the mucous membrane of the uterus - the endometrium, the inflammatory process develops, the tissues themselves begin to expand far beyond the inner layer, localize in the uterine muscle layer. Naturally, such pathological processes can not ultimately not lead to a violation of the full functioning of the reproductive system. Disruption of the hormonal system and, as a consequence, a violation of the stability of the hormonal background, appears almost immediately after the onset of the disease. And in process of its development intensively progresses. In addition, a woman is very much weakened by the work of the immune system - in addition to the underlying disease, various other accompanying diseases join. And strong allergic reactions do not make you wait - the affected parts of the uterus can swell very much. According to the observations of doctors - gynecologists, as well as medical statistics, most often this disease affects women who have reached 35 - 40 years of age. What exactly provokes the development of the disease precisely in this age category, doctors have not been established accurately, but physicians assume that there is a certain direct relationship with the general state of the woman's body. The younger the organism, the stronger it is - and therefore the immune system, and all the others are capable of rebuffing and fighting independently with various negative influences, rather than at an older age. And as the woman ages, a number of age-related changes inevitably begin to occur in her body, which leads to the fact that the resistance of the organism is greatly reduced. And in the event that a woman is careless about her health, she can have a variety of diseases, including adenomyosis.

Symptoms of adenomyosis

Despite the fact that the disease isit can be quite asymptomatic for quite a long time, but, nevertheless, it is progressing. However, sooner or later, but the disease still makes itself felt. Adenomyosis of the uterus has the following symptoms:

Painful sensations. Painful sensations that occur in a woman a few days before and after menstruation. And the intensity of pain can be very different - from mild pain to very intense, which is almost impossible to tolerate, it is necessary to resort to the use of various analgesic pharmacological drugs.

Pregnant discharge. Brown discharge, or, as they are called in common parlance - "daub" from the genitals, appearing for a short while, just a few days before the start of menstruation, and in the first few days after it. Allocation is very scarce, lacking the usual daily laying - they do not particularly bother the woman.

Violations of the menstrual cycle. This disease in almost all cases leads to a violation of the menstrual cycle - both its elongation and shortening, which occurs much more often. The intervals between menstruation become shorter and shorter.

Pathological changes in the uterus. If the disease progresses too intensively and the woman does not receive the necessary treatment in time and in full, sooner or later she will have a deformation of the uterus body - a change in the shape and size. However, this symptom can be detected only when a woman examines a woman by a gynecologist.

Abundant menstrual flow. Another of the most pronounced signs of adenomyosis is increased blood loss during menstruation. And the blood loss can be very, very significant - sometimes an emergency medical intervention is necessary to stop the bleeding.

Infertility - both primary and secondary. This disease must be excluded and if the woman for a long time can not become pregnant. Adenomyosis can lead to the development of infertility in about half of all cases of the disease, as it largely disrupts the functioning of the reproductive system of a woman, preventing the fertilization of the egg.

The most common signs are described aboveof the given disease, however far not always they are shown all at once and simultaneously, or equally intensively. Sometimes the disease can occur with only one or two symptoms, and sometimes - with all at once, and even expressed in a very vivid form. Everything depends on several external factors, for example, on the individual characteristics of the body, the state of the immune system, the degree of development of the disease.

Diagnosis of the disease

Adenomyosis is often due to its symptomssimilar to some other gynecological diseases. Therefore, it must be accurately diagnosed in order to prescribe the necessary treatment. To do this, there are a number of ways to diagnose adenomyosis - a comprehensive examination of a sick woman:

Visual examination of the female genital area, using gynecological mirrors. This method of research will allow to assess the appearance of the cervix, the state of the mucous membranes.
Manual two-handed study of the sexual organs of a woman. It, in turn, allows you to objectively assess the condition, shape and size of the uterus, identify abnormalities and the degree of deformation.
Colposcopy. With this diagnostic study, the state of the cervix is studied by a special device that magnifies the image approximately 40 times, and gives the doctor the most complete picture of what is happening.
Smears. The study of gynecological smears is also very important - you can find out if a woman has any infections that aggravate the course of the disease.
A general study of vital organs andsystems of the woman's body: respiratory organs, digestion, urinary system, and especially the immune system. Consultation of an immunologist with adenomyosis is a necessary part of the diagnosis and subsequent treatment.

In no case can I ignore the visitvarious narrow specialists - including an allergist and immunologist. This is simply vital for the doctor - gynecologist to be able to correctly select the drugs for the treatment of adenomyosis. So, for example, peptic ulcer diseases of the stomach and duodenum, the presence of diseases of the cardiovascular system exclude the possibility of using a number of pharmacological preparations. And if the doctor and the patient do not know about the presence of certain diseases, treatment of adenomyosis can lead to the most unfortunate consequences - exacerbation of other diseases and the development of certain complications. And having detailed information about the state of health of a sick woman, the doctor will be able to choose exactly the treatment scheme that will help a woman get rid of the disease, and will not bring any side negative effects. In addition to all this, an ultrasound examination of the pelvic organs will be performed to diagnose a woman, in order to obtain a more detailed picture of the general clinical picture of what is happening. This study is becoming increasingly popular and prevalent. And it's no accident - for carrying out an ultrasound study, no particularly serious preparation is required, it is absolutely painless and gives an almost complete picture. In some, especially severe cases, a woman may be shown hysteroscopy and laparoscopy to diagnose adenomyosis. Of course, these procedures are almost always very scary woman, but do not rush and give it up. Sometimes it is these methods of research that can allow us to establish a complete picture of the disease. In the same case, if the conservative method of treatment was not effective enough, and the doctors decided on the need for surgical intervention, a woman will necessarily have to undergo a number of additional studies, which include:

A broad blood test - a general and biochemical blood test, an analysis for the level of sugar in the blood, the determination of the blood group and the Rh factor.
Urine test.
Secondary fence and examination of gynecological smears.
X-ray examination of chest organs.

As a rule, in almost all cases, doctorsrequire that all these studies the woman was strictly mandatory. Otherwise, operative surgical intervention can result in some complications.

Treatment of uterine adenomyosis

So, it goes without saying that,if a woman has adenomyosis, treatment should be started as soon as possible. Otherwise, the disease will actively progress, and the neglected form is amenable to treatment is much more complicated than at the very beginning. To date, gynecologists prefer both the therapeutic method and surgical intervention. Both methods of treatment of adenomyosis will be considered below. The therapeutic method of treatment implies a pharmacological and physiotherapeutic form of influence on the female body. First of all, pharmacological preparations should stabilize and normalize the immune system of a woman. And this is a very important stage of treatment - a healthy immune system will immediately begin to fight the disease. The second stage of treatment is the normalization and stabilization of the hormonal background of the body. To do this, there are a number of special pharmacological drugs that contain in their composition certain doses of a particular hormone. The doctor selects these drugs strictly individually in each case, based on the results of the blood test. Such a scheme of treatment is very often very effective - the pain disappears, the menstrual cycle is normalized and restored after 5-6 weeks. Approximately two months later, the woman is able to conceive and bear the child. From this moment, doctors believe that a full recovery has come. However, unfortunately, not always conservative therapy can help get rid of adenomyosis. As a rule, in especially neglected cases, or with constant relapses, it may decide on the need for a surgical intervention. The aim of the operation is to remove as many lesions as possible, as well as artificial restoration of the anatomical structure of the internal genital organs. The effectiveness of surgical intervention largely depends not only on the degree of skill and professionalism of the surgeon, but also on the degree of uterine involvement. Therefore, once again I would like to repeat - the earlier treatment is started, the higher the probability that the treatment will be effective. The process of recovery after such an operation lasts no more than one week - during this time the woman should be under the watchful eye of doctors in the hospital. After the woman is discharged from the hospital, she must visit the gynecologist every week for the first three months. This measure will help to avoid the development of complications after surgery. After this, the woman must undergo preventive examinations every six months. Full recovery occurs when the woman does not experience any pain, nor any other symptoms of the disease. And, in addition, relapse should not be observed for at least five years. We advise you to read: