Adenomyosis: Difference between revisions
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== Mechanism of Injury / Pathological Process<br> == | == Mechanism of Injury / Pathological Process<br> == | ||
Adenomyosis is of unknown aetiology. However, some processes have been implicated which include; | |||
* Invasion of the endometrium into the myometrium | |||
* Inflammation of the uterine walls during childbirth | |||
* Exttraneous tissues present in the uterine wall in utero and grow at adulthood. | |||
* Myometrial stem cells | |||
* Uterine trauma arising from pregnancy, ceaseran section or pregnancy termination<br> | |||
== Clinical Presentation == | == Clinical Presentation == | ||
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Symptoms of adenomyosis can range from mild, moderate or severe, while some people may not experience any at all. The commonest include: | Symptoms of adenomyosis can range from mild, moderate or severe, while some people may not experience any at all. The commonest include: | ||
* Menorrhalgia | |||
* Menorrhagia | |||
* Blood clots during menstrual bleeding | |||
* Dyspareunia | |||
* Infertility<br> | |||
== Diagnostic Procedures == | == Diagnostic Procedures == |
Revision as of 13:35, 18 May 2022
Introduction[edit | edit source]
Adenomyosis is a condition in which the endometrium (glandular tissue) of the uterus breaks ectopically through the myometrium (muscular wall) of the uterus making the uterine walls thicker and distorting the vasculature of the uterus. It is formerly referred to as endometriosis interna, but it has been found that the two diseases differ though they may occur together.
The disease is more prevalent in multiparous middle-aged women, it may also occur in the younger population. Adenomyosis is thought to be hormone-sensitive and estrogen, progesterone, prolactin, and follicle stimulating hormone are implicated, it is also known to subside after menopause when hormone levels decline.
Mechanism of Injury / Pathological Process
[edit | edit source]
Adenomyosis is of unknown aetiology. However, some processes have been implicated which include;
- Invasion of the endometrium into the myometrium
- Inflammation of the uterine walls during childbirth
- Exttraneous tissues present in the uterine wall in utero and grow at adulthood.
- Myometrial stem cells
- Uterine trauma arising from pregnancy, ceaseran section or pregnancy termination
Clinical Presentation[edit | edit source]
Symptoms of adenomyosis can range from mild, moderate or severe, while some people may not experience any at all. The commonest include:
- Menorrhalgia
- Menorrhagia
- Blood clots during menstrual bleeding
- Dyspareunia
- Infertility
Diagnostic Procedures[edit | edit source]
add text here relating to diagnostic tests for the condition
Outcome Measures[edit | edit source]
add links to outcome measures here (see Outcome Measures Database)
Management / Interventions
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add text here relating to management approaches to the condition
Differential Diagnosis
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add text here relating to the differential diagnosis of this condition
Resources
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add appropriate resources here