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Can Adenomyosis Patients Feel Pain During the Non-menstrual Period?

Topic: Women's IssuesPublished November 15, 2022

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The most significant pain of adenomyosis is dysmenorrhea. To a large extent, dysmenorrhea is gradually aggravated and may be painful before and after menstruation. Today's pain, tomorrow's pain, month after month, year after year, next time will only be more severe, some even ten years of dysmenorrhea. As a result, many people feel that they can't make it through, the pain is getting worse and worse, and the painkillers are getting worse and worse. Someone said: "it is more painful than cancer, as senior dysmenorrhea adenomyosis; I want to say that when menstruation comes, I can't think at all, I can't take care of myself, and I won't feel hungry. All my energy is fighting and feeling pain with my menstruation. You can't help feeling it because of waves of shock. You are so painful that you even want to make an appointment with it. You are very angry and have no temper." Dysmenorrhea during menstruation is the most apparent symptom of adenomyosis, mostly secondary dysmenorrhea. And the pain gets worse. It is a typical clinical manifestation of adenomyosis. This kind of dysmenorrhea is obvious when menstruation. Adenomyosis is due to endometriosis from the uterine cavity through the door to the myometrium and glands inside the uterus. This part of the endometrium of the ectopic visit will then produce analogs like menstrual blood, causing obvious pain with each menstruation. Before and during menstruation, the pain will aggravate, the menstrual period may be prolonged, and the amount of menstruation is too small. The dysmenorrhea will aggravate, but the clinical symptoms such as abnormal menstruation, infertility, sexual intercourse pain, pelvic pain, low fever, increased leucorrhea, and menstrual pain will appear. With the disease's development, the pain can start about one week before menstruation or extend to 1-2 weeks after menstruation. The pain was mainly in the middle part of the lower abdomen. If pelvic adhesions and chronic pelvic inflammation accompany adenomyosis, you can also feel pain even if you are not during menstruation. The best treatment of adenomyosis is symptomatic treatment, according to the individual situation to choose the appropriate treatment. Doctors should consider age, fertility requirements, and clinical symptoms. If the patient approaches menopause, a gonadotropin-releasing hormone agonist can relieve pain and reduce the uterus' size, but symptoms can appear after stopping the drug. Suppose you are young women who need to have children. In that case, you can take medication or use gonadotropin-releasing hormone agonist pretreatment and then ovulation induction and other assisted reproduction after the uterus shrinks. The treatment of adenomyosis is divided into conservative treatment and surgical treatment. Most adenomyosis patients with no fertility requirements can first choose intrauterine Mirena ring treatment. Mirena ring is high-efficiency progesterone. It can inhibit the secretion of estrogen, make the endometrium thin, and focus on endometriosis atrophy to achieve the purpose of treatment. If you have fertility requirements, you can use herbal medicine for treatment under doctors' guidance, such as Fuyan Pill. Patients with the low effect of a drug or upper ring therapy can consider surgical treatment. Uterine preservation surgery is a surgical method that can eliminate the lesions, retain the uterus to the maximum extent, and relieve the pain. It can achieve the following effects after operation. Uterine preservation and small incision after the procedure are easily accepted by patients who pay attention to the beauty of the wound. After the operation, dysmenorrhea disappeared, the uterus returned to average size, and menstruation was normal (the age was not close to menopausal women). Change the situation of a large amount of menstruation before the operation and correct the symptoms of anemia.

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