Adenomyosis is a special kind of endometriosis, which puzzles many women as a complex and miscellaneous gynecological disease. Especially in recent years, with the high operation of artificial abortion and cesarean section, the incidence rate of adenomyosis is increasing, and more and more doctors seek medical treatment.
At present, hysterectomy is still a widely used surgical method in obstetrics and gynecology. In the 20th century, as many as 600000 hysterectomies were performed in the United States every year. Most scholars have found that some women with a hysterectomy and ovary preservation have a series of physiological and pathological problems, such as menopausal symptoms, changes in sexual life, cardiovascular disease, and so on.
1. Effect on ovarian function
The endocrine and nervous systems comprehensively regulate the reproductive physiological function, mainly between the "hypothalamus-pituitary-ovary" axis. After a hysterectomy, the receptors in the uterus disappear, the endocrine precise and subtle dynamic balance between the uterus and ovary is destroyed, and the production of ovarian steroids is reduced, which affects the normal changes of the ovarian cycle.rnEspecially the initiation of early follicular development, the short-term follicular period is prolonged, and the corpus luteum function is not perfect. The response of the ovary to gonadotropin is similar to that of the postmenopausal ovary. After a hysterectomy, the axis system of the hypothalamus-pituitary ovary is destroyed, resulting in ovarian failure.
The ovarian function of patients with simple hysterectomy decreased gradually and became more and more evident with the extension of postoperative time. Foreign medical research also shows that reproductive hormones will be affected when young women undergo a hysterectomy even if both ovaries are retained. They should take supplements appropriately to maintain normal hormone levels.
2. Effect on urinary function
The effects of subtotal hysterectomy and total hysterectomy on ovarian function are the same, but the effects on urinary function are different. Some significant surgical complications, such as urinary tract injury, only occur in total resection but not in subtotal resection.
Hysterectomy also damages and destroys the blood vessels that nourish the bladder and the nerves that dominate the bladder and changes the anatomical position and tension of the bladder so that it may reduce the function of the bladder. Mainly during total cystectomy, the cervix relying on the back of the bladder is removed, which may be the more obvious reason for the impairment of bladder function.
3. Effect of hysterectomy on sexual life
Even if the ovaries are preserved after hysterectomy, some patients' quality of sexual life still decreases, which is due to many reasons. In addition to psychological factors, premature ovarian failure caused by surgery is undoubtedly the main reason. At the same time, the contraction of uterine smooth muscle supports orgasm.
The nerve fibers at the upper end of the vagina and cervix can improve sensitivity, sexual arousal, and vaginal wetness during sexual life. In addition, the cervix plays a role in triggering orgasm during sexual life. After a total hysterectomy, this stimulation is reduced, which can reduce the quality of postoperative sexual life.
Because some people have an inappropriate understanding of the uterus, they may have anxiety and tension after hysterectomy, coupled with the change of hormone level and vaginal anatomical structure after removing the cervix. It aggravates their stress and tension, resulting in the decline of the quality of sexual life.
4. Effects of different hysterectomy methods on body
Different surgical methods have various effects on ovarian function. Menopausal symptoms are more severe in premenopausal women under 45 years old who undergo surgical treatment for benign uterine diseases. Preserving one side of the accessory has less effect on postoperative endocrine function than preserving one side of the ovary. Retention of bilateral appendages had less effect on postoperative ovarian function than retention of unilateral appendages. The removal of one side of the accessory has less effect on postoperative endocrine function than simple hysterectomy.
To sum up, the ovary and uterus are essential endocrine organs of women. Ovaries participate in reproductive function, maintain menstrual function, and play an important regulatory role in endocrine and metabolism. Uterine secretions are also involved in physiological and pathological processes in the body.
So, maintaining ovarian function is an essential condition to ensure women's quality of life. When dealing with uterine lesions, medical workers should weigh the advantages and disadvantages and preserve the uterus.
Therefore, adenomyosis is usually treated with drugs. If the patient's symptoms are mild and have reproductive needs, they can choose
Fuyan Pill, a patent herbal medicine. Patients with menopause can take an anti-inflammatory to relieve symptoms at the onset of the disease. Most patients will be alleviated after menopause and do not need other treatment. Surgical resection is mainly applicable to women who are very seriously ill and have given birth.
When women treat adenomyosis, choosing the appropriate treatment method is the safest and effective, and the treatment effect can be guaranteed.