Post Date November, 16 2024
Adenomyosis is a gynecological disease, and its appearance also has a serious impact on women. Especially when there are abnormal manifestations, we must pay attention to it and immediately carry out reasonable examination and diagnosis in regular hospitals.
Symptoms of Adenomyosis
1. Menstrual disorder: about 30%~40% of patients with Adenomyosis suffer from Menstrual disorder. The main period is prolonged and the amount of menstruation increases. Some patients bleed before and after menstruation, and severe patients suffer from anemia.
2. Dysmenorrhea: characterized by secondary worsening of dysmenorrhea. It begins to appear one week before the onset of menstruation, and the physiological pain will ease after the end of the physiological day. Taking painkillers in the early stages of dysmenorrhea can alleviate it, but as the condition progresses, the dosage of painkillers required for dysmenorrhea significantly increases, making it unbearable for patients.
3. Pain: Adenomyosis is accompanied with pain symptoms, causing cramps and colic, which is unbearable. There are also Dyspareunia, and many patients cannot have sex.
4. Infertility: Adenomyosis is caused by the invasion of endometrium into the Myometrium, which is often accompanied by Endometriosis. The Zygote cannot be implanted normally, affecting pregnancy.
5. Other: When patients have adenomyosis, about 35% of female friends may not have any obvious symptoms, which can easily lead to worsening of the condition.
Examination method of Adenomyosis
1. Ultrasound examination: The uterus enlarges, the muscle layer thickens, the posterior wall becomes more prominent, and the endometrial line moves forward. Compared with the normal Myometrium, the lesion often waits for echo or has a slightly strong echo, during which there is spot low echo, and there is no obvious boundary between the lesion and its surroundings. Vaginal ultrasound examination can improve the positive rate and accuracy of diagnosis.
2. Hysterography: In the past, lipiodol angiography showed that lipiodol entered the Myometrium, with a positive rate of about 20%. Later, some people believed that ultrasound contrast with hydrogen peroxide solution could improve the positive rate.
3. Endoscopy examination: Hysteroscopy examination shows enlargement of the uterine cavity, sometimes abnormal glandular openings can be seen, and a knife is used to excavate the endometrium and suspicious tissue below for pathological examination, sometimes making a clear diagnosis. Laparoscopy showed that the uterus was evenly enlarged, with more obvious anteroposterior diameter, hard uterus, gray or dark purple appearance, and small serous foam could be seen on the surface. Sometimes the adhesive film surface will protrude purple blue nodules
4. Determination of CA125: We measured the blood CA125 levels in 55 cases of uterine adenomyosis, 20 cases of Uterine fibroid and 20 cases of normal women. The level of serum CA125 in patients with Adenomyosis increased significantly, and the positive rate was 80%. It was also found that there is a positive correlation between CA125 levels and uterine size in patients with adenomyosis. The larger the uterus, the higher the CA125 level. Compared with preoperative, the CA125 level in patients decreased significantly one week after surgery. CA125 measurement shows that it not only has obvious auxiliary diagnostic value for uterine adenomyosis, but also helps to differentiate it from Uterine fibroid.
