One of the most mysterious and insidious diseases ingynecology - endometriosis. Experts still do not understand the mechanisms of its occurrence. One of the varieties of this pathology is the internal endometriosis of the uterus. It is interesting that some women do not show themselves, but others cause a lot of suffering and deprive the joy of motherhood.
When a gynecologist finds a woman givenpathology, she usually has a question: What is endometriosis of the uterus and what are its consequences? In adenomyosis, endometrial (mucosal) cells of the uterus penetrate into the myometrium (muscle layer). During the cycle under the influence of hormones, they undergo changes and are rejected during menstruation.
However, myometrium is not suitable for this,so there are hemorrhages, swelling and inflammation. At the same time, its functioning is disturbed. Internal endometriosis of the uterus is accompanied by an increase in its size, in addition, it acquires a globular shape.
Symptoms of adenomyosis:
- painful, prolonged and profuse menstruation;
- pronounced premenstrual syndrome;
- miscarriage of pregnancy;
- Sparing excretions before and after menstruation;
- infertility.
However, internal endometriosis is a disease,which can not show itself, then it does not require treatment. Many women live with him all their lives, without even realizing it, they do not bother, and they give birth to healthy children.
Quite often adenomyosis is accidentally diagnosed with a planned ultrasound. To ladies with such pathology it is desirable to plan pregnancy after consultation at the gynecologist-endocrinologist and to be observed at it or him.
Experts believe that the main reasonAdenomyosis is an imbalance of the main female hormones. This pathology occurs with a high level of estrogen or a low concentration of progesterone. Therefore, hormonal therapy is used to treat it.
Also, doctors are sure that a certain role inthe emergence of adenomyosis is heredity, surgical manipulations on the uterus, constant stress, inflammation, mud baths, prolonged exposure to the sun, immune disorders and a number of other factors. Women with this disease are not recommended to overheat, as this may contribute to its progression.
Internal endometriosis of the uterus is diagnosed withusing gynecological examination, ultrasound, hysterosalpingography and hysteroscopy. A doctor during a two-handed examination can detect an enlarged uterus before menstruation and a decrease in her size after.
Во время УЗИ при аденомиозе специалист видит diffuse thickening of the myometrium and heterogeneous cellular structure of the affected wall. With the nodal form of the disease, it detects a node with a non-uniform structure.
Гистеросальпингографию для диагностики аденомиоза spend from 7 to 9 day of the cycle. During this period, the severed endometrium does not prevent penetration of the radiopaque substance introduced into the uterus through the vagina into the endometriotic passages. This manipulation also allows you to check the patency of the fallopian tubes.
During hysteroscopy with adenomyosis, a gynecologistsees in the area of the side walls and the bottom multiple or single holes of a linear, oval or round shape. During this study, a special optical device is inserted into the uterine cavity through the cervical canal.
For the treatment of adenomyosis hormonalpreparations. In preparation for pregnancy and at the initial stage of the disease, gestagens are used. If the patient does not plan to have a baby in the near future, she will be offered oral oral contraceptives or the Mirena intrauterine system.
In more severe forms and in the premenopausal, drugs that cause an artificial menopause are more often prescribed. If hormone therapy does not work, then they resort to prompt intervention.
A very good method of treating adenomyosis is pregnancy. This is due to hormonal changes in the body and the absence of menstruation. At this time, the foci of endometriosis regress.
So, the internal endometriosis of the uterus can not itselfmanifest, but some women he seriously worried, and then requires treatment. This disease can hinder the conception and bearing of a child. In addition, menstruation can become very painful, plentiful and prolonged, causing anemia and lowering the quality of life.
