Adenomyosis occurs when endometrial tissue grows into the uterus’s muscular wall. This displaced tissue continues to function, thickening, breaking down, and bleeding during each menstrual cycle. It causes an enlarged uterus and painful, heavy periods.
The cause of adenomyosis is unclear to gynaecologists. However, the condition typically resolves after menopause. Hormonal treatments can help with severe discomfort for women with adenomyosis. Removal of the uterus (hysterectomy) offers a cure for adenomyosis.
Adenomyosis Causes
The specific causes of adenomyosis remain unknown. Several risk factors are linked, including:
- Childbirth-related inflammation may cause the dividing line between the endometrium and the uterine wall to dissolve.
- Previous uterine surgery, such as fibroid removal or a caesarean section, might cause healed tissue to grow inward.
- Some experts suspect this is an act by endometrial cells. They believe these cells, confined to the lining, stage an invasion into the uterine muscle wall.
- A recent theory suggests the involvement of stem cells from bone marrow. These cells, with their transformative abilities, might be migrating into the uterine muscle and somehow causing adenomyosis.
Oestrogen fuels the growth of adenomyosis, regardless of how it initially develops.
Adenomyosis Symptoms
Adenomyosis can be a silent culprit behind troublesome periods and pelvic pain. While some women experience no symptoms at all, for others, it can significantly impact their quality of life. Here’s a breakdown of the signs to watch out for:
- Adenomyosis can wreak havoc on your periods, causing them to be much heavier and more painful than usual.
- You might experience a constant feeling of bloating, heaviness, or fullness in your abdomen throughout your cycle.
- A dull or sharp ache in your lower tummy can be a sign of adenomyosis, and it’s not limited to just your period.
- Never ignore pain during intercourse.
However, if you’re facing any of these issues, visit a private gynaecologist in London to get a proper diagnosis and explore treatment options.
Complications
If you have frequent, heavy bleeding during your periods, you may develop chronic anaemia, which causes exhaustion and other health issues.
Although not hazardous, adenomyosis can cause pelvic pain and heavy bleeding, which might interfere with your lifestyle. You must avoid activities you once enjoyed because you are in discomfort or are concerned about bleeding.
Remember, not everyone can experience adenomyosis symptoms.
Adenomyosis Diagnosis
Diagnosing adenomyosis involves an approach based on your symptoms and specialised tests.
- Pelvic Exam: Your doctor will feel your uterus during a pelvic exam. If the doctor finds adenomyosis, the uterus might feel enlarged, softened, or tender to the touch.
- Ultrasound scan: A transvaginal ultrasound uses sound waves to create detailed images of your pelvic organs. These images can reveal a thickened uterine wall in some cases, hinting at adenomyosis in some cases.
- MRI scan: Magnetic resonance imaging (MRI) offers the most precise view of your uterus. This scan can show overall enlargement and pinpoint specific areas where the uterine wall has thickened, strengthening the suspicion of adenomyosis.
Sometimes, a biopsy might be needed to eliminate the possibility of more adverse conditions. During a biopsy, the top gynaecologist in London collects a small tissue sample from your uterus and examines it under a microscope to rule out other issues.
Adenomyosis Treatment in London
Adenomyosis can be a real pain. But there are ways to feel better. Here’s a rundown of what can help:
- The intrauterine system (IUS), also known as Mirena or the hormonal coil, thins your womb lining, leading to lighter and less crampy periods.
- If the IUS isn’t your thing, there are other hormonal contraception options like the progestin-only pill, the combined pill, or the contraceptive patch. These can also help manage symptoms.
If you’re looking for effective adenomyosis treatment in London, several private gynaecologists in the UK can help you manage your symptoms.
Medications for Relief
- Tranexamic Acid: This medication helps reduce heavy bleeding, a common symptom of adenomyosis.
- NSAIDs: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can be your allies in combating pain.
In some cases, surgery might be an option. It could involve a hysterectomy (removal of the uterus) or endometrial ablation (removal of the womb lining).
Some Strategies for Period Pain
Adenomyosis can bring on some nasty period pain and pelvic discomfort. Here are some tips to find relief:
- Heat Therapy: A trusty heat pad or hot water bottle wrapped in a towel can work wonders on your tummy, easing cramps.
- TENS Machine: This device uses gentle electrical pulses to reduce pain.
- Painkillers: Don’t suffer in silence! Paracetamol or ibuprofen can be your friends for managing pain.
What to Expect from Your First Visit to a Private Gynaecology Clinic?
Visiting a private gynaecology clinic can feel daunting, so let’s shed some light on what you can expect. If you’re experiencing symptoms that might point towards adenomyosis, your gynaecologist will likely ask detailed questions about your menstrual periods.
The doctor may gently feel your abdomen To assess for potential swelling or bloating. A doctor might suggest an internal examination to get a closer look at your vagina and cervix (the opening to your womb). It is entirely optional, and you have the right to decline.
If you want to feel more comfortable with a companion? Not a problem! You can absolutely have a friend, family member, or even another staff member present during the examination for added support.
Sometimes, your gynaecologist might recommend additional tests to identify the cause of your symptoms or rule out similar conditions like endometriosis. You can book an appointment with your gynaecologist today for a comprehensive diagnosis.
