Adenomyosis
Introduction[edit | edit source]
Adenomyosis is a condition in which the endometrium (glandular tissue) of the uterus breaks ectopically through the myometrium (muscular wall) of the uterus making the uterine walls thicker and distorting the vasculature of the uterus. It is formerly referred to as endometriosis interna, but it has been found that the two diseases differ though they may occur together.
The disease is more prevalent in multiparous middle-aged women, it may also occur in the younger population. Adenomyosis is thought to be hormone-sensitive and estrogen, progesterone, prolactin, and follicle stimulating hormone are implicated, it is also known to subside after menopause when hormone levels decline.
Mechanism of Injury / Pathological Process
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Clinical Presentation[edit | edit source]
Symptoms of adenomyosis can range from mild, moderate or severe, while some people may not experience any at all. The commonest include:
menorrhalgia
menorrhagia
blood clots during menstrual bleeding
dyspareunia
infertility
Diagnostic Procedures[edit | edit source]
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Outcome Measures[edit | edit source]
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Management / Interventions
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Differential Diagnosis
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Resources
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