Adenomyosis

Adenomyosis is a condition in which the endometrium, the inner layer of the uterus, grows into the muscle tissue of the uterus.

This can lead to pain, irregular bleeding and infertility. Adenomyosis can be difficult to diagnose, as the symptoms can be similar to those of other gynecological conditions, such as endometriosis and fibroids.

A gynecologist can use ultrasound, MRI and laparoscopy to make the diagnosis.

Treatment options for adenomyosis include medication, surgery, and alternative treatment.

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What symptoms can adenomyosis cause?

Adenomyosis can cause a variety of symptoms, including:

Pain in the abdomen and lower back, especially during menstruation
Irregular bleeding, including menorrhagia (a lot of menstrual blood) and metrorrhagia (irregular periods)
Feeling of being full in the stomach
Infertility or difficulty conceiving
Constipation, diarrhea and bloating
Pain during intercourse

It is important to remember that the symptoms of adenomyosis can be similar to those of other gynecological conditions, so it is important to see a doctor for a formal diagnosis.

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Why does adenomyosis cause pain?

Adenomyosis can cause pain because the inner layer of the uterus (the endometrium) grows into the muscle tissue of the uterus. When the endometrium grows into the muscle tissue, it can cause inflammation and increased tension in the muscles, which can lead to pain.

The pain can be worst during menstruation, when the endometrium is rejected through the uterus and the muscles have to contract to remove it. The pain can also be chronic and be present throughout the month.

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Why can it be difficult to make the diagnosis?

Adenomyosis can be difficult to diagnose because the symptoms can be similar to those of other gynecological conditions, such as endometriosis and fibroids. In addition, symptoms can vary from person to person, and some people can have adenomyosis without having any symptoms at all.

It can also be difficult to visualize adenomyosis through a regular gynecological examination, so it may be necessary to use other diagnostic methods, such as ultrasound, MRI and laparoscopy, to make the diagnosis.

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How is adenomyosis diagnosed?

A gynecologist can diagnose adenomyosis by performing a physical examination and by asking the patient about the symptoms they are experiencing. It may also be useful to carry out an ultrasound to look at the uterus and surrounding tissue. An MRI (magnetic resonance) can also be used to look inside the uterus and surrounding tissue and to visualize the endometrium that has grown into the muscle tissue.

A laparoscopy, which is a type of surgery where the gynecologist uses a small camera to look into the abdominal cavity, can also be helpful in diagnosing adenomyosis. With laparoscopy, the doctor can remove tissue samples (biopsies) for further examination and confirm the diagnosis.

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How can Dr. Dropin help?

At Dr. Dropin, there are gynecologists who can help and guide you who feel severe pain related to with ovulation and menstruation.

Short waiting time
Reasonable price
No referral

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Do you have more questions about endometriosis or other women's diseases? Contact us at hei@drdropin.no and we will help you as best we can.

Read more about Dr. Dropin's gynecologist services:

Dr.Dropin Gynecology