Post Date November, 16 2024
The emergence of adenomyosis of the uterus has caused great concern to many women. They know that the uterus is an important organ for reproduction, and many patients first consider the impact on pregnancy after falling ill. This is also a situation that we must pay attention to.
Can patients with adenomyosis conceive
It is generally believed that severe adenomyosis, especially in patients with endometriosis, can easily lead to infertility. Patients with this condition have uterine hypertrophy, pelvic adhesion, and are not conducive to ovulation and embryo implantation, resulting in a low natural pregnancy rate. Fortunately, it is not uncommon for young women to have severe adenomyosis.
Patients with mild adenomyosis still have the opportunity to conceive. In addition, if a limited number of adenomas are obtained, the tumor can be surgically removed to protect the uterus and provide a chance of pregnancy in the future.
The hazards of adenomyosis of the uterus
1. Infertility: Adenomyosis of the uterus can cause infertility. Ectopic endometrial tissue can cause pelvic adhesions and tubal infertility.
2. Excessive menstruation and anemia: Patients with adenomyosis have a significantly enlarged, spherical uterus. The increase in endometrial area, excessive bleeding, prolonged physiological days, and accompanying endometrial hyperplasia are also one of the reasons for excessive bleeding. Excessive bleeding can lead to anemia.
3. Dysmenorrhea: The tissue structure of the uterine myometrium is tight, and ectopic endometrial tissue bleeds extensively within the myometrium. The uterine tension increases, and the uterine muscles contract spasmodically. Dysmenorrhea worsens month by month.
4. Causing uterine enlargement: Gynecological examination often reveals uterine enlargement, and the characteristic of uterine enlargement during or before menstruation, gradually decreasing afterwards. However, if it does not exceed the size of 3 months of pregnancy, if it exceeds 3 months, it often indicates complications.
Treatment of adenomyosis of the uterus
1. Medication treatment:
(1) Symptomatic treatment: For those with mild symptoms who only require relief of dysmenorrhea, non-steroidal anti-inflammatory drugs such as Fenbid, Indomethacin, Bitter, etc. can be targeted for treatment during dysmenorrhea.
(2) False pregnancy therapy: For patients with mild symptoms, no fertility requirements, and amenorrhea, oral contraceptives and pregnancy hormones can cause ectopic endometrium to desquamate and atrophy, playing a role in controlling the development of adenomyosis.
(3) Intrauterine device (IUD): For individuals with high menstrual volume, dysmenorrhea, and temporary lack of fertility requirements, an IUD containing high-efficiency pregnancy hormone can be selected. By continuously releasing pregnancy hormone in the uterus, the development of ectopic lesions can be controlled, and it must be removed or replaced after 5 years.
