Article

Don't Look Down on Dysmenorrhea, May Be Adenomyosis!

Topic: Women's IssuesPublished August 10, 2022

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Menstrual cramps are so common in women that many do not go to the hospital. They often resort to such methods as wearing more clothes, drinking brown sugar water, applying warm water bags, staying in bed, and taking painkillers. These actions can indeed alleviate mild menstrual cramps. But if you have severe dysmenorrhea, it can not be ignored and may be adenomyosis. Adenomyosis is a localized or diffuse lesion caused by endometrial glands and stroma invading the myometrium and maintaining functional changes such as periodic hyperplasia and bleeding. More than 70 percent of severe menstrual cramps are caused by endometriosis and adenomyosis. Dysmenorrhea often occurs in the previous two days before periods, and people feel more and more severe pain during menstruation. Some in the non-menstrual period also have lower abdominal pain, anal distension, and other symptoms. Why can adenomyosis cause dysmenorrhea? Adenomyosis is a disease caused by endometriosis that spreads to the myometrium and then grows and bleeds periodically as hormone levels change. Especially during the menstrual period, the uterus will be significantly enlarged. After the uterus is enlarged, the tension becomes more extensive, resulting in painful symptoms, one of the reasons for dysmenorrhea. In addition, ectopic endometrium will release a lot of inflammatory factors and induce the synthesis of prostaglandins. The uterus, under the action of prostaglandins, produces drastic contraction, which will also lead to severe dysmenorrhea. These are the reasons why adenomyosis causes dysmenorrhea. In addition to dysmenorrhea, women can also experience menstrual disorders. The main manifestations are increased menstrual volume and prolonged menstrual period. The reason is that the endometrial tissue growing in the muscle layer will affect the contractility of the menstrual uterus. And the enlarged uterus will make the endometrial area increase and then lead to an increase in menstrual volume. Therefore, be on the lookout for adenomyosis if you experience progressive, unrelieved dysmenorrhea accompanied by increased menstrual volume and prolonged periods. In addition, adenomyosis can lead to severe dysmenorrhea and infertility. If pregnancy is complicated with adenomyosis, it can increase the probability of obstetric complications, such as postpartum hemorrhage and uterine contraction weakness. These hazards have a relatively large impact on the body. Infertility for a woman is unacceptable, so as usual, you need to pay more attention to it. Once diagnosed, positive treatment is needed. Treatment is usually based on the patient's symptoms, age, and fertility requirements. 1. Mild symptoms For patients with mild symptoms, fertility requirements, and near menopause, danazol, gestrinone, or GnRH-A can be used to relieve symptoms. But the drugs have side effects and are easy to relapse after stopping. Therefore, long-term use is not recommended. 2. Someone has fertility requirements Patients with adenomyosis who are young or want to have children can try traditional Chinese medicine. Traditional Chinese medicine believes that adenomyosis is related to blood stasis. And the formation of blood stasis is related to pathogenic factors such as qi deficiency, cold condensation, qi stagnation, and phlegm dampness. Therefore, in the treatment, the principle of activating blood circulation and removing blood stasis should be taken into account, as well as the causes of blood stasis and the difference between deficiency and reality. Fuyan Pill has these advantages. It can eliminate dysmenorrhea and other symptoms. At the same time, it can eliminate the cause to achieve the purpose of cure. 3. Severe symptoms Total hysterectomy should be performed in patients with severe symptoms, no fertility requirements, or who do not respond to medical treatment. Whether to keep the ovaries depends on whether the ovaries are diseased and the age of the patient.

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