Today, adenomyosis has become increasingly diagnosedthe uterus of 1 degree. This is due to the emergence of modern methods. They allow to reveal this disease at the very beginning, when there are usually no symptoms. Usually this happens with a routine examination, as well as the diagnosis and treatment of other pathologies.
Therefore it is so important to go to the gynecologist regularlyappointment. The patient should understand that neither adenomyosis of 1 degree, nor a more neglected variant of cure is completely impossible. The main goal of therapy is to prevent the progression of the disease.
Adenomyosis can be accompanied by copious,long and painful periods, pain in intimate proximity, bleeding, "daub" before and after critical days, infertility, miscarriage. Usually their severity depends on the stage of the disease, although this is not always the case.
What is adenomyosis of the uterus 1 degree?This is a special case of endometriosis, when the endometrial cells are in myometrium. Normally, the uterine mucosa grows during the cycle only inside it, and then is rejected during the menstrual period. This happens under the influence of hormones.
Cells of the endometrium, located in the muscle layer,also undergo cyclic changes, that is, they grow, and then are rejected. Since the myometrium is not suitable for this, inflammation, swelling occurs. This leads to the appearance of unpleasant symptoms.
By the way, experts believe that if they are not, then no need to be treated. Therapy in this case may be necessary only in the planning of pregnancy. It should be performed by a gynecologist-endocrinologist.
In general, adenomyosis of the uterus 1 degree rarely requires treatment. In the main patient, observation is recommended, as at any time the disease can begin to progress. Then you need to take action.
It is believed that adenomyosis and its progressioncan cause abortion, childbirth, diagnostic curettage, inflammation, surgery on the uterus. However, its detection in young girls without these manipulations has prompted specialists to think that it can be congenital. Also, stress, mud and sun baths, immune diseases can contribute to the onset of endometriosis.
Adenomyosis, diagnosed with ultrasound, hysteroscopy and MRI, often does not manifest itself. Many women with this pathology do not even know about it.
On hysteroscopy with adenomyosis the doctor seesendometriotic passages in the womb and on its walls. During the study, its cavity is inspected from the inside with a special optical system. If necessary, surgical manipulations can be performed.
On ultrasound with adenomyosis the doctor sees a cellular, heterogeneous ejstructure of the myometrium with areas of reduced and increased echogenicity. With a long course of the disease, the uterus acquires a spherical shape.
MRI in the diagnosis of adenomyosis is rarely used. Basically, when there are doubts when conducting ultrasound. The doctor puts this diagnosis in doubt.
In the initial stage of adenomyosis, treatment is conservative. Hormonal preparations are used. They are selected individually after the examination and taking into account the accompanying pathologies, the desire to have a child.
Oral contraceptives, gestagens can be used. The Mirena system is also used. Pregnancy is a good prophylaxis for the progression of adenomyosis.
So, adenomyosis of the uterus of 1 degree rarely deliversinconvenience and has symptoms, is usually detected by accident or by routine examination. Diagnosis is carried out mainly with the help of ultrasound, rarely apply hysteroscopy and MRI. Therapy is necessary in the presence of symptoms and before pregnancy, which itself is its good prevention. The most important is to regularly be examined and prevent the progression of the process. It can provoke stress, scraping, abortion, childbirth and a number of other factors.
