Adenomyosis refers to the invasion of endometrial glands into the myometrium with symptoms such as cyclic bleeding and pain, and is most common in menstruating women between the ages of 30 and 50. The examination of adenomyosis relies on gynecological examination, CA125 test, ultrasound and pathological examination.
1. Gynecological examination: In adenomyosis, the uterus is often enlarged due to the proliferation of ectopic glands in the myometrium. Gynecological physical examination may reveal a uniformly enlarged uterus with limited elevation, hardness, and tenderness.
2. CA125 test: most patients with adenomyosis can have elevated CA125, but usually not more than 2000IU/ml, abnormal increase should be identified with malignant tumors of the reproductive system.
3. Ultrasound: transvaginal ultrasound can show the size and shape of the uterus, the thickness of the endometrium and the echo of the myometrial wall, which can be used for the auxiliary diagnosis of adenomyosis.
4. Pathologic examination: Pathologic examination of adenomyosis is usually conducted after surgery, which is a means of confirming the diagnosis of adenomyosis. When the uterine lesion is removed for pathological examination, endometriotic glands and mesenchyme in the myometrium are found in an island-like distribution, and the diagnosis of adenomyosis can be confirmed.
In daily life, if you have excessive menstrual flow and severe menstrual pain, you need to be alert to the occurrence of adenomyosis and go to the Obstetrics and Gynecology Department in time for a complete examination.