Adenomyosis and Pregnancy

Adenomyosis is a terrifying terminology happening in place of pregnancy. It actually means the gland within the muscle. There are two parts of uterus. One part is the outside of the uterus while the other part is the inside that is the lining of the inside of the uterus called as the endometrium. This endometrium bleeds and sheds during the regular menstrual cycle. Adenomyosis is the state when the endometrium that grows deep into the uterine muscle and bleeds there. Every month the endometrial cells that are situated deep in the uterine muscle bleed causing cramps which vary during each and every menstrual cycle.

The blood and cells that usually go out of the uterus with the period are trapped deep within the muscle and cannot escape. The resultant is the cramp uterine pain at the age after 35 years. The Adenomyosis is really endometriosis of the uterine wall and many accompany endometriosis elsewhere in the pelvis. Adenomyosis usually occurs in the abdominal cavity on the outside of the uterus, on the bowels, on the ovary, or on the tubes.

Symptoms of Adenomyosis:

The symptoms would mainly depend upon what and how severe she experiences the following:

  1. Heavier or prolonged menstrual bleeding or cramps
  2. Abnormal uterine bleeding
  3. Pelvic pain
  4. Increased urinary frequency

These symptoms and Adenomyosis are experienced by any woman generally after the age of 35 years. The exact symptom cannot be detected as the endometrium muscle undergoes bleeding and changes similar to what it undergoes during the regular menstrual cycles. The symptoms along with what are stated above include dull ache accompanied by pressure in the pelvis. The uterus is enlarged, softer and may become tender. To detect the Adenomyosis, a detailed ultrasound examining the status of the uterus needs to be conducted. Also on pelvic examination, a slight softening of the uterus, a uterine mass, or uterine tenderness proves to be an important sign while detecting the Adenomyosis.

Causes:

The most causes of the Adenomyosis are:

  1. Age of 35 years and above
  2. Child birth
  3. Pregnancy terminations
  4. Cesarean sections
  5. Tubal Ligations

Treatment and Prevention:

The treatment for Adenomyosis is the surgery in which the entire uterus is removed. It is termed as the hysterectomy in which the uterus is removed along with the Adenomyosis. If one doesn’t need the child or pregnancy any more then this is the correct option to be adopted.

Apart from this there are other options that can help to treat and prevent reoccurring of the Adenomyosis:

  1. A well ordered and hygienic  mode of living
  2. A nutritious and plain, tasteless and mild diet
  3. Adequate mental and physical rest
  4. Daily agreeable exercise and occupation that will provide you with the mental and physical rest
  5. Fresh air and regular meals with sleeping slots.

Adenomyosis and Pregnancy:

During pregnancy there is natural production of excessive progesterone that cures the Adenomyosis better. Natural Progesterone opposes the estrogen and the Adenomyosis disappears after the menopause. It means that estrogen causes Adenomyosis. If this is so then what are the causes for excessive production of estrogen: the first is there are chemicals that act like estrogen, next is the low level stress and anxiety that may also impair the chemical production of the xenoestrogens. The xenoestogen is the term used for the chemicals that act like the estrogen. The third is after the age of 35 years as till the age of 35 years the ovaries produce both estrogen as well as the progesterone. But after the age 35 years the ovaries produce only progesterone and stop producing the estrogens.

The pain can be controlled by consuming the non-steroidal anti inflammatory drugs that are generally excellent prostaglandins inhibitors. The prostaglandins stimulate the uterine muscle contract, reducing these compounds. These drugs should be started early in the menses and continued regularly to be effective.

In pregnancy, Adenomyosis may be present in several areas where the pregnancy is placed at the highest risk. These would include premature labor, abruption placenta, and c-section.

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