Post Date September, 01 2023
We must pay attention to the occurrence of adenomyosis of the uterus. Especially after the patient falls ill, it is necessary to clarify the hazards. We must also clarify the reasons and try to avoid the occurrence of diseases in daily life.
Can adenomyosis of the uterus lead to pregnancy?
Patients with adenomyosis can conceive, but the success rate of pregnancy is low. Patients with adenomyosis can assist with pregnancy through in vitro fertilization, but the pregnancy rate is still limited after cultivation and the miscarriage rate is high.
Although adenomyosis is associated with infertility, some patients can actively seek treatment to improve their symptoms. The selection of treatment methods for adenomyosis of the uterus is diverse and comprehensively considered from multiple perspectives and stages, including expectant treatment, surgical treatment, drug treatment, various treatment methods guided by ultrasound, vascular intervention therapy (UAE), and intrauterine placement of LNG-IUS. The principle of personalized treatment should be followed to improve the pregnancy rate of patients with adenomyosis.
The hazards of adenomyosis of the uterus
1. Uterine adenomyosis infertility: In recent years, with the widespread use of uterine cavity manipulation techniques, some young women have also developed infertility between the ages of 16 and 30, and women of reproductive age have also experienced infertility.
2. Uterine adenomyosis with excessive menstruation: Regarding the causes of excessive menstruation, it is traditionally believed that an increase in uterine volume and endometrial area can increase the chance of bleeding. However, currently, clinical observation shows that adenomyosis in the uterus is often smaller than 3 months of pregnancy.
3. Adenomyosis of the uterus causes physiological pain: physiological pain is accompanied by sexual deterioration, including menstrual abnormalities, infertility, painful sexual intercourse, pelvic pain, low fever, increased vaginal discharge, physiological pain, and other discomfort symptoms. The reason for dysmenorrhea is that the ectopic endometrium bleeds with changes in the ovaries, and the local pressure outside the lesion increases. The surrounding smooth muscle tissue is stimulated, causing spasms and contractions, resulting in pain.
4. Adenomyosis of the uterus causes uterine enlargement: Gynecological examinations often reveal uterine enlargement, which occurs during and after menstruation and gradually decreases in size in the future. However, if it does not exceed the size of 3 months of pregnancy, if it exceeds 3 months, it often indicates complications.
The causes of adenomyosis of the uterus
1. Improper uterine surgery and procedures: cesarean section, mid pregnancy cesarean section, uterine fibroid dissection, uterine malformation correction, etc. During the uterine surgery process, the possibility of endometrial debris entering the uterine fibroids is high. Currently, the damage to the uterine fibroids is the biggest factor causing adenomyosis.
