Adenomyosis is quite a common disease of female gynecological sphere. Its frequency goes up to 60-70%. In most of the cases it is diagnosed in women after 30. It is a pathological state of the uterine endometrium when the endometrial cells grow into the muscle wall of the uterus. The muscle fibers around these ingrown cells are getting thicker. The entire uterus increases in size. Sometimes the ingrown endometrium even forms hotbeds in the uterine wall, sometimes it forms bundles. They look very similar to the myoma bundles. This is the reason that often they are difficult to diagnose during the ultrasound exam. However, they often go combined.
The exact reason of the adenomyosis appearance has not been determined yet. The specialists suppose that any operational intrusions into the uterus are the provoking factors of such complication appearance. The thing is that they destroy the integrity of the barrier between uterine wall and endometrium. Among such intrusions are curettage, abortions, labor or any uterine surgery.
But sometimes adenomyosis occurs in women who have never experienced any gynecological operation, and even in teenage girls. How could that be? There may be two reasons of that. The first is congenital pathology when the endometrium grows into the uterine walls of no reason. The second is when the cervix does not open wide enough during the menstruation. The uterine constrictions create the increased pressure inside the uterus and it traumatizes the endometrium.
The adenomyiosis cannot be completely treated. It just goes down with the menopause. The modern ways of adenomyosis treatment are just relieving the pathological state and make the disease regress. The treatment is practically the same4 as the myoma treatment. The reversible menopause artificially created with the help of hormonal preparations. The most radical decision if the disease is very severe is the removal of the uterus.