What is Adenomyosis?

Jul 10, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Under normal circumstances, adenomyosis is a common gynecological disease characterized primarily by the invasion of endometrial glands and stroma into the uterine muscle layer, forming diffuse or localized lesions. It is recommended to seek timely medical attention, identify the underlying cause, and undergo symptomatic treatment under a doctor's guidance. Patients should pay attention to keeping warm, avoid fatigue, and maintain a pleasant mood in their daily lives.

Generally, adenomyosis is a common gynecological condition characterized by the invasion of endometrial glands and stroma into the uterine muscle layer, forming diffuse or localized lesions. It is recommended to seek timely medical consultation, identify the underlying causes, and undergo symptomatic treatment under a doctor's guidance. A detailed explanation is as follows:

The exact causes of adenomyosis remain unclear. It may be associated with uterine cavity surgeries, such as cesarean section, diagnostic curettage, and induced abortion, which might promote the invasion of endometrial tissue into the uterine muscular layer. Additionally, congenital or acquired genital tract obstructions that prevent normal menstrual blood outflow may also trigger adenomyosis. After developing the condition, patients commonly experience increased menstrual bleeding and prolonged menstrual periods. These symptoms occur because the invasion of glands and stroma into the uterine muscle layer impairs uterine contractions, leading to excessive menstrual bleeding. Prolonged heavy menstruation may also cause anemia, resulting in symptoms such as pallor, fatigue, and dizziness.

Patients should keep warm, avoid fatigue, and maintain a cheerful mood in daily life. Regular gynecological examinations are important for early detection and treatment. Patients should also follow medical advice for treatment and follow-up visits, avoiding self-discontinuation or alteration of the treatment plan.

View All

What is the best treatment for adenomyosis?

Adenomyosis refers to adenomyosis of the uterus. Causes include increasing age, irregular lifestyle, damage to the basal layer of the endometrium, chronic endometritis, and endometriosis. To prevent uterine adenomyosis, it is important to maintain regular living habits, avoid excessive fatigue and mental stress, practice good personal hygiene, minimize unnecessary surgical procedures, and carefully manage sexual activity.

View Full Answer

Can adenomyosis heal on its own?

In general, adenomyosis cannot heal on its own. Adenomyosis is a non-neoplastic uterine condition, often associated with female sex hormone secretion. This disorder causes the endometrial glands and stroma to invade into the uterine muscle layer, forming localized lesions. Symptoms of adenomyosis may include prolonged menstrual periods, heavy menstrual bleeding, dysmenorrhea, and infertility.

View Full Answer

What is the difference between adenomyoma and uterine fibroids?

Adenomyoma usually refers to uterine adenomyosis. Generally speaking, the main differences between uterine adenomyosis and uterine fibroids include pathogenesis, clinical symptoms, imaging examinations, microscopic features, treatment, and recurrence. If you experience any discomfort, it is recommended to seek medical attention promptly. Therefore, when related symptoms occur, timely consultation with a healthcare professional is advised to obtain accurate diagnosis and appropriate treatment recommendations.

View Full Answer

How large is the size of uterine adenomyosis considered severe?

To determine the severity of adenomyosis, the size of the lesion should not be the sole criterion. A comprehensive assessment is required, taking into account the extent of the lesion, symptom presentation, growth rate, and impact on fertility. Generally, the condition is considered relatively mild when the lesion is localized, the uterine volume is not significantly increased, and symptoms are mild. However, the condition may be more severe if the lesion is extensive, the uterine volume is markedly increased, or symptoms significantly affect quality of life, even if individual lesions are not large.