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A Concise on Adenomyosis Treatment, Symptoms, Causes & Risk Factors

| 06 Jun 2020 | 2389 Views |

Adenomyosis in females is a widespread condition where the vital cells of the useful uterine lining grow into the unwanted muscular wall of the gentle part uterus. The frequent pain and unbearable bleeding because of adenomyosis can definitely have a great impact on a woman’s lifestyle. It may affect her routine activities and personal or professional life.

The National Health Service (NHS), UK estimates that 1 in 10 women have adenomyosis, which is mostly visible in women aged 40 to 50 years with similar or no adenomyosis symptoms. Adenomyosis varies widely among women, including the extent of the condition and therefore the seriousness of the visible symptoms.

A quick check for adenomyosis symptoms is listed below:

  • heavy menstrual bleeding
  • extremely painful periods
  • pain during intercourse
  • bleeding between periods
  • unbearable uterine cramps
  • an enlarged and tender uterus
  • general pain within the pelvic area
  • a feeling of pressure on the bladder and rectum
  • pain while having a defecation

What are the Common Adenomyosis Risk Factors?

Although the symptoms can clarify whether to hunt a doctor or not, it is a wise decision to grasp the risk involved if you decide on the latter one.

Some adenomyosis risk factors to read before you proceed are:

Age: Though this condition can affect women of any age, the majority of women aged 40 to 50s are under the constant threat of adenomyosis.

Pregnancy: A high percentage of women with adenomyosis have had multiple pregnancies.

Uterine surgery: Past record of previous surgery on the uterus that includes a cesarean section, significantly increases adenomyosis risk factors.

A woman’s fertility is taken into account as a blessing, a woman is endowed with. As far as adenomyosis’s effect on fertility in a woman is connected, the entire issue is conflicting as per researchers (it may or might not affect), as there are several other conditions present in women with fertility issues.

Whether the trio (adenomyosis, infertility, and pregnancy complications) has any significant relationship, continues to be a matter of study for contemporary medicine and researchers within the concerned field. Till now, there is no concrete proof of an increased risk for miscarriage or the other obstetric complications that have come to notice.

About Adenomyosis IVF Success Rate

Researchers have also studied the detrimental impact of adenomyosis on IVF clinical outcomes. The rates of implantation, clinical pregnancy per cycle, clinical pregnancy per embryo transfer, ongoing pregnancy, and nativity among women with adenomyosis were found significantly not up to in those without adenomyosis. The miscarriage rate in women with adenomyosis was on top of those without adenomyosis. Of particular interest was a study that checked out women using egg donation rather than their own eggs?

Using donated eggs ensures that each woman has good egg quality. Any difference in the pregnancy rate is more likely to flow from any uterus problems. This study concluded that girls with adenomyosis had a double risk of miscarriage. The point to be noted here is, that the standard of those studies and their ability to rule out other causes of infertility (like endometriosis) are poor.

Since not even researchers are sure about its causes and cure so, a correct diagnosis can really help women in stress about adenomyosis success rate in IVF treatment. A whole medical evaluation can help to work out the simplest course of treatment. Your doctor will first want to perform a physical examination to work out if your uterus is swollen. Many ladies with adenomyosis will have a uterus that’s double or triple the conventional size.

Other tests might also be used. An ultrasound can help your doctor to diagnose the condition, while also ruling out the chance of tumors on the uterus. Your doctor may order an MRI scan to get high-resolution images of the uterus if they are unable to create a diagnosis using ultrasound.

Without treatment, adenomyosis may remain identical or symptoms can worsen. Although adenomyosis treatment is not necessary if a woman has no symptoms, it is not trying to induce pregnancy or at the brink of menopause which is when most women find relief from adenomyosis causes.

However, there are many various adenomyosis treatment options available to women with this condition:

  • Anti-inflammatory medications – Medications like ibuprofen can reduce pain and discomfort. Doctors might prescribe no steroidal or anti-inflammatory drugs (NSAIDs) to alleviate mild pain. You have got to begin taking NSAIDs just two or three days before the start of your period and should continue for the primary few days of your period.
  • Hormonal medications – Some hormonal treatments like anovulant pills, progestin IUDs, or injections (Depo-Provera) can help lessen the symptoms. Other hormonal therapy may include a levonorgestrel-releasing IUD (which is inserted into the uterus), aromatase inhibitors, and GnRH analogs.
  • Injectable medications – These medications can induce false or temporary menopause. These are only utilized in the short term and are not suitable for long-term use.
  • Uterine artery embolization – This involves placing a tube during a major artery within the groin and injecting small particles into the world suffering from adenomyosis. This stops the blood supply from reaching the affected area, which can shrink the adenomyosis and reduce symptoms.
  • Hysterectomy – The sole definitive treatment for adenomyosis is the complete removal of the uterus. It is not a wise option for women who want to have babies through IVF or other means.

No treatment is required if a woman is asymptomatic, not trying to encourage pregnancy, or simply at the starting point of menopause, which is when women automatically find relief from adenomyosis symptoms. Moreover, it causes heavy bleeding which may result in anemia in women. Anemia can further prevent women’s daily activities, causing fatigue or chronic weakness. Supplements curing anemia would be best, but it is always good to seek a doctor’s advice on the risk factors and treatment to avoid any negative effect or worsening of the situation.

The advancement in the medical field has succeeded in curing many diseases in men and women. Adenomyosis is also a common problem in women today but adenomyosis symptoms help to go for the required treatment at an early stage.

Adenomyosis’s effect on fertility is not adverse and so the adenomyosis IVF success rate is there. Fertility specialist clinics like India IVF Clinic have been making adenomyotic patients pregnant. Couples experiencing adenomyosis can consult IVF specialist Dr. Richika for a satisfactory consultation anytime. Book your appointment today to avoid any kind of risk due to adenomyosis!

About The Author
Dr. Richika Sahay

MBBS (Gold Medalist), DNB (Obst & Gyne), MNAMS, MRCOG (London-UK), Fellow IVF, Fellow MAS, Infertility (IVF) Specialist & Gynae Laparoscopic surgeon,[Ex AIIMS & Sir Gangaram Hospital, New Delhi]. Read more

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