General Information About Adenomyosis
Adenomyosis is a benign but highly quality-of-life-reducing gynecological condition characterized by the endometrial tissue lining the inner surface of the uterus growing into and embedding itself within the muscular wall of the uterus (myometrium). This condition leads to an enlarged uterus, excessively heavy and clotted menstrual bleeding, as well as severe, cramp-like pain (dysmenorrhea) during menstruation. Typically seen in women aged 35-50, adenomyosis is diagnosed and treated with modern methods in the Obstetrics and Gynecology clinic of Çakırtepe Hospital.
Disease Details and Frequently Asked Questions
You can find detailed information about the condition under the headings below.
What is Adenomyosis?
It is a disease where the cells of the inner lining of the uterus (endometrium), which normally shed with menstrual bleeding every month, infiltrate into the uterine muscle (myometrium) and continue to grow there.
What is the difference from Endometriosis (Chocolate Cyst)?
In endometriosis, the cells of the inner lining of the uterus implant completely outside the uterus (ovaries, intestines, etc.); whereas in adenomyosis, these cells embed into the uterus's own muscular layer.
What are the symptoms?
Prolonged and very heavy menstrual bleeding (requiring excessive use of pads/tampons), clotted bleeding, severe pelvic pain starting before menstruation and continuing throughout, pain during sexual intercourse, and a constant feeling of pressure in the lower abdomen are the most typical symptoms.
What causes Adenomyosis?
The exact cause is unknown. However, having had previous uterine surgery (cesarean section, curettage, myoma surgery), having had multiple childbirths, and estrogen hormone levels are considered among the risk factors.
How is it diagnosed?
During a pelvic examination by a specialist gynecologist, the uterus is found to be enlarged and tender. A definitive diagnosis is made through high-resolution Transvaginal Ultrasound and Pelvic MRI imaging.
How is it treated?
It is planned according to the patient's age, desire for children, and the severity of the complaints. Symptoms can be controlled with painkillers, hormonal medications (birth control pills), and hormonal IUDs (Mirena). In advanced cases that do not respond to medication and where there is no desire for children, surgical removal of the uterus (Hysterectomy) is the definitive solution.
Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.
