Yesterday, a user left a message saying that it’s been ten days since her abortion and she has just found out that she has adenomyosis. The doctor prescribed pain-relieving capsules, but her stomach still hurts and her back hurts, so she can’t sleep at night. The problem is this: if a patient with adenomyosis is pregnant and has an abortion, a serious thing is that the pain will last a long time, like a normal woman after a painless abortion, that is, just after today and tomorrow may be a bit uncomfortable, and then it will pass. But adenomyosis patients are not, after the abortion can be painful for 10 days, or even 20 days, and the pain is very strong, the medication and injection are not successful, because what, because there is adenomyosis lesions, lesions in that place is stimulated, the abortion itself is a stimulation of the uterus. So her case is currently recommended to use anal painkillers to try to reduce the pain symptoms, but also need to actively treat adenomyosis. Nowadays, it is becoming more and more common for women to have abortions, and I’m sure we all know more or less about the dangers of abortion. However, I am afraid that some patients know very little about its relationship with adenomyosis. So on this topic, I’ll talk to you briefly. We know that adenomyosis is mainly related to the gradual invasion and spread of endometrial glands to the myometrium, but the exact cause of the disease is still unclear. Preliminary clinical studies suggest that there is an important correlation between the development of adenomyosis and the local elevation of estrogen. Elevated estrogen levels lead to irregular changes in the cell cycle, affecting the expression between the endometrial and myometrial interfaces and eventually leading to an increase in endometriotic ectopic tissue and endometrial adenomyosis. Abortion and adenomyosis Clinical studies have found that the invasion of the uterus during gynecologic-related procedures can lead to varying degrees of damage to the uterine wall and to inflammation, which can lead to localized thinning of the uterine wall. Once the pressure in the uterine cavity is increased, it is easy for the endometrial glands to diffuse and infiltrate into the myometrium, leading to the development of adenomyosis. Abortion is a direct invasive operation on the uterus, and if the operation is not standardized and aseptic surgery is not strictly performed, it can easily lead to damage to the inner wall of the uterus and inflammation, creating conditions for the infiltration of endometrial glands into the myometrium. At the same time, women are relatively more prone to adenomyosis because of the significant increase in estrogen levels during pregnancy, and if abortion is performed under such circumstances, it will further increase the chance of adenomyosis or increase the potential risk of adenomyosis. Even if the disease does not develop within a short period of time, the presence of potentially higher pathogenic factors will increase the chance of later development compared to women who have not had an abortion. There is also a correlation between the number of abortions and the incidence of adenomyosis. I see and operate on a large number of patients with adenomyosis every day, and some of them have had abortions. Statistics also show that the chance of getting adenomyosis without a history of abortion is much lower than the chance of getting adenomyosis with a history of abortion, and the chance of adenomyosis from repeated abortions (2 or more) is relatively higher. The higher the number of abortions, the higher the chances of adenomyosis. Timing of abortion Is there a big difference between having an abortion early and doing it late? There is really a big difference. Having an abortion early in the pregnancy can relatively reduce the incidence of adenomyosis later. The longer the pregnancy, the deeper the wall of the gestational sac, the heavier the internal damage to the uterus during abortion, and even the need for forceps scraping if necessary, which inevitably leads to increased damage. The chance of adenomyosis from an abortion at less than 6 weeks of gestation is much lower than from an abortion at more than 6 weeks of gestation, and if the abortion is performed at more than 8 weeks of gestation, the situation is even less favorable, and to some extent it can be considered a very unfavorable factor. Therefore, theoretically, the greater the gestational age, the greater the damage to the uterine wall during abortion and the greater the chance of developing adenomyosis. Although abortion and adenomyosis are not absolutely related, our doctors generally believe that there is a correlation between the two. So “impulse is the devil”, always plan your pregnancy, your health is more important than anything else, and you should cherish your body.