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Adenomyosis can vary widely in the type and severity of symptoms that it causes, ranging from being entirely asymptomatic 33% of the time to being a severe and debilitating condition in some cases. Women with adenomyosis typically first report symptoms when they are between 40 and 50, but symptoms can occur in younger women. [3] [6]
One study has a few theories about the cause of a niche. [5] One of the reasons can be the presence of adenomyosis which might cause improper healing. [5] Adenomyosis is a disorder where the endometrium, the inside lining of the uterus, grows between the muscle cells of the wall of the uterus. [6]
The underlying causes may include ovulation problems, fibroids, the lining of the uterus growing into the uterine wall, uterine polyps, underlying bleeding problems, side effects from birth control, or cancer. [3] More than one category of causes may apply in an individual case. [3] The first step in work-up is to rule out a tumor or pregnancy.
Symptoms of dysmenorrhea often begin immediately after ovulation and can last until the end of menstruation. This is because dysmenorrhea is often associated with changes in hormonal levels in the body that occur with ovulation. In particular, prostaglandins induce abdominal contractions that can cause pain and gastrointestinal symptoms.
Diagnosis is usually based on symptoms and medical imaging; [3] however, a definitive diagnosis is made through laparoscopy (excision is the gold standard) and biopsy. [3] Other causes of similar symptoms include pelvic inflammatory disease, irritable bowel syndrome, interstitial cystitis, and fibromyalgia. [1]
Uterine fibroids are benign, non-cancerous growths in the uterus that affect most women at some point in their lives and usually does not require treatment unless they cause intolerable symptoms. [21] Stress and lifestyle factors commonly impact menstruation, which includes weight changes, dieting, changes in exercise, travel, and illness. [22]
Treatment depends on the cause, severity, and interference with quality of life. [4] Initial treatment often involve birth control pills. Tranexamic acid, danazol, hormonal intrauterine device, and painkillers are also helpful. [5] Surgery can be an effective for those whose symptoms are not well-controlled with other treatments. [6]
Mom, 31, Demands More Tests After Docs Dismiss Cancer Symptoms as 'Stress and Hormones': 'I Had to Advocate for Myself' Cara Lynn Shultz January 30, 2025 at 12:05 PM