Adenomyosis may initially lead to progressive worsening of dysmenorrhea, increased menstrual flow, and other accompanying symptoms such as anemia.
Adenomyosis is a condition in which the endometrial glands and mesenchyme invade the myometrium and maintain functional changes such as periodic proliferation, exfoliation, and bleeding, causing corresponding symptoms.
Adenomyosis can be categorized into two types: diffuse and limited. In the diffuse type, the uterus is uniformly enlarged, and the anterior and posterior diameters of the uterus are enlarged markedly, spherical in shape, generally not exceeding the size of the uterus at 12 weeks’ gestation, and hard in texture.
In the limited type, the lesions grow in a restricted manner, forming nodules or masses called adenomyomas. This type is caused by the proliferation of fibrous tissue around the lesion due to recurrent localized bleeding, so it often has no clear boundary with the surrounding basement. It is more difficult to peel off during surgery than fibroids.
Patients with adenomyosis are advised to go to the hospital in a timely manner, complete the relevant examinations, clarify the cause of the disease under the guidance of the doctor, and actively target the treatment to avoid delaying the condition.