What is Adenomyosis?

Adenomyosis is also known as endometriosis. This is a common gynecological disease today, manifesting when the lining of a woman's uterus sheds but is not pushed out, but is pushed back into the ovaries, bladder and rectum. .. long-term accumulation into endothelium layers. Adenomyosis can cause severe pain and possibly infertility in women.

Normally, when it comes to menstruation, the endometrium in the uterus will peel off and be pushed out - menstrual blood. However, if these mucosal layers peel off but cannot escape, they flow back into the ovaries, abdominal cavity, rectum, bladder, etc., which is called endometriosis.
Pathogenesis of Adenomyosis: In the ectopic place, the endometrium will continue to be affected by sex hormones, so when the menstrual cycle comes, the endometrium and these stray fragments will develop. thickened (about more than 10 times). As a result, the abdomen will swell, fill with blood, compress and cause pain before menstruation. When the endometrium bleeds, these peanut fragments also flow, but there is no way to escape, causing severe abdominal pain during menstruation. At the end of the menstrual cycle, the peanut fragments will form scar tissue. The amount of peanut tissue will only increase, not decrease without treatment, so the disease will get worse.

In fact, many people do not know what Adenomyosis is or what Adenomyosis is. This makes early detection and timely treatment difficult.
Specialist doctors say that the symptoms of Adenomyosis in each person will depend on the location of endometriosis and the menstrual cycle. However, most will see symptoms such as:
Lower abdominal pain; Pain before or after menstruation; Pain during intercourse; Pain when urinating, defecating; Pelvic pain; Backache.

Although the main cause of Adenomyosis is still unknown, it is suggested that all the factors that cause menstrual blood to flow back into the ovaries, abdominal cavity, rectum, and bladder are possible. cause adenomyosis.
In case the patient is a girl, the cause may be because during the menstrual cycle, the cervix is ​​closed, making it difficult to push the menstrual blood out, so it flows back.
For married women, the cause of Adenomyosis can be intercourse during menstruation and the husband's penis pushes the menstrual blood against it.
In addition, there is also an opinion that Adenomyosis is hereditary, due to childbirth....
Most patients with Adenomyosis have no obvious symptoms, so it is not detected early and treated promptly. Only when you experience severe abdominal pain during your period should you seek medical attention. This disease can cause female infertility if not treated promptly.

To diagnose Adenomyosis, the doctor will conduct an examination of the patient. Take medical history and do a physical exam. Can perform diagnostic imaging techniques such as ultrasound of the vagina, pelvis...

Once the patient has been diagnosed with Adenomyosis, the doctor will base on the specific condition to propose a specific treatment method. The possible treatments for Adenomyosis are:
Giving the patient pain medication; Use hormone therapy to stop menstruation. In severe cases, a hysterectomy may be indicated.

In order to detect Adenomyosis early, women from the age of 25 onwards should practice the habit of having regular gynecological examination every 6 months. When you see severe abdominal pain when coming to the month or having sex, visit your doctor for examination, diagnosis, and timely treatment.
In addition, to prevent Adenomyosis, women need:
Hygiene and keep the private area dry and clean. When cleaning the private area, it should be noted that only gently wash the outside of the vagina, not forcefully flush or douche deep inside, because it can cause bacteria to back up into the uterus and cause disease. Absolutely do not abuse feminine hygiene solutions because it can cause an imbalance in the vaginal environment. In order to help customers detect and treat other gynecological diseases early, Vinmec International General Hospital has a basic gynecological examination and screening package, which helps customers detect inflammatory diseases early and help treat diseases. Easy, inexpensive treatment. Screening detects gynecological cancer (cervical cancer) early even when there are no symptoms.
Basic gynecological examination and screening package for female customers, has no age limit and may have the following symptoms:
Abnormal vaginal bleeding Having menstrual problems: irregular menstrual cycle, irregular menstrual cycle Irregular vaginal discharge (smell, different color) Vaginal pain and itching Female clients have several risk factors such as poor personal hygiene, Unsafe sex, abortion,... Female customers have other symptoms such as: Abnormal vaginal discharge, itching, pain in the private area, abnormal vaginal bleeding. When registering for the Basic Gynecological Examination and Screening Package, customers will receive:
Gynecological Specialist Examination Transvaginal Uterine Ovarian Ultrasound Vaginal Bilateral Breast Ultrasound Tests such as: Treponema pallidum test rapid, Chlamydia rapid test, taking samples for cervical-vaginal cytology, bacterioscopic staining (female vaginal fluid), HPV genotype PCR automated system, Urinalysis by automatic machine.