1.What is adenomyosis and adenomyoma?
Adenomyosis is a benign disease of the uterus caused by ectopic endometrium to the myometrium, which is divided into diffuse type and focal type, and the focal type is what used to be called adenomyoma.
2.How does adenomyosis occur?
The main causes are multiple miscarriages, childbirth, uterine trauma during cesarean delivery and chronic endometritis, which mostly occurs in young and middle-aged women during their reproductive years. Wang Shaoguang, Department of Gynecology, Yantai Yuhuangding Hospital
3, what are the symptoms of adenomyosis?
Increasingly severe dysmenorrhea is its typical symptom, often accompanied by menstrual disorders, anemia, infertility and painful intercourse.
4.What is the difference between adenomyosis and fibroids?
Adenomyosis is not a tumor, it has no envelope and is difficult to be removed by conventional surgery.
Uterine fibroids are benign tumors with envelope and can be removed.
5.What are the treatment methods of adenomyosis?
(1) Drug treatment: hormonal drugs are used to adjust patients to menopausal state, with heavy liver and kidney damage, heavy masculinization, poor efficacy and relapse after stopping the drug.
(2) Lesion debridement: The recurrence rate is extremely high, and recurrence occurs after 2-3 menstrual periods after surgery.
(3) Hysterectomy: at the cost of organ removal, highly traumatic (see Article 5);
(4) Interventional treatment: good efficacy, preservation of organs and fertility, minimal trauma, the best treatment option for adenomyosis to preserve the uterus.
6, some people say “after having a child, the uterus is useless”, “cut the uterus will be once and for all”, this concept is correct?
This concept is not correct. Modern medical research has found that the uterus has other important roles in addition to its reproductive function.
(1) The uterus can secrete a variety of hormones to maintain endocrine balance and prevent the occurrence of other diseases caused by endocrine disorders;
The blood supply to the ovaries is reduced by 50-70% after removal of the uterus, while the ovaries lose the support of the uterus, the blood circulation is severely affected and its endocrine function is reduced. Studies have found that women who have their uterus removed experience ovarian failure 3-4 years earlier than women of the same age, that the earlier the hysterectomy, the earlier the menopause, and that there is a 34% increase in patients with severe menopausal symptoms. In other words, hysterectomy leads to earlier ageing and earlier and more severe geriatric disease.
(2) Premature hysterectomy may make you feel comfortable for one or two years after the operation, but the worries will come one after another, first of all, the physical strength and energy will be reduced, easily fatigued, resistance will be reduced, and you will be more prone to heart disease and osteoporosis than normal people, and the skin will lose its luster, laxity, spots and hyperpigmentation.
(3) Premature removal of the uterus, prone to vaginitis, vaginal dryness, decreased libido, seriously affects the life of couples.
(4) The uterus can play a supporting role in the body and maintain the position of the bladder and rectum. When the uterus is removed, the bladder and rectum lose their support and are prone to prolapse as they age, affecting urination and defecation functions.
7.How is the interventional treatment for adenomyosis done?
A small hole the size of a grain of rice is cut at the root of one thigh, and a special catheter is inserted into the blood supply artery of the adenomyosis lesion, and an embolic agent is applied to block the blood supply to the lesion, so as to “starve” the adenomyosis.
8.Interventional treatment of adenomyosis in the uterus?
The procedure is usually completed in about 1.5 hours. Interventional treatment is done under intravenous analgesic anesthesia, so the procedure is painless.
9.What is the recovery situation after the interventional treatment for adenomyosis?
The hospital stay after interventional treatment is relatively short, usually 6 hours after the operation, you can eat, 24 hours can be free to move around; 2-3 days can be discharged.
10.What is the effect of interventional treatment for adenomyosis?
After more than 20 years of clinical observation, interventional treatment is already a mature technology. Within 1-3 months after treatment, 85-90% of patients’ dysmenorrhea basically or completely disappears, menstruation returns to normal, and the uterus shrinks and softens significantly within 3-5 months.
11.Can I get pregnant after interventional treatment for adenomyosis?
After interventional treatment, the uterus shrinks and softens, which can increase the chance of pregnancy. 1 year after the intervention is the best time to get pregnant.
12.What are the advantages of interventional treatment for adenomyosis?
(1) No removal of the uterus and complete preservation of uterine function;
(2) Fast recovery and precise efficacy;
(3) short hospitalization time.
(4) No access to the abdominal cavity, no interference with the intra-abdominal environment, no need to worry about intestinal adhesions and intestinal obstruction and other complications.