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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]
Data collected from over 300,000 women in the United States suggest an incidence of about 1% for adenomyosis. [2] The demographic with the highest incidence in this retrospective cohort study were black women and women aged 40–45 years, with women in their early 40s the most likely to be symptomatic. [2]
Estimates of the percentage of female adolescents and women of reproductive age affected are between 50% and 90%. [4] [6] It is the most common menstrual disorder. [2] Typically, it starts within a year of the first menstrual period. [1] When there is no underlying cause, often the pain improves with age or following having a child. [2]
Initial evaluation during diagnosis aims at determining pregnancy status, menopausal status, and the source of bleeding. One definition for diagnosing the condition is bleeding lasting more than 7 days or the loss of more than 80 mL of blood heavy flow. [3] Treatment depends on the cause, severity, and interference with quality of life. [4]
For women with adenomyosis, the data regarding outcomes is limited. However, studies have demonstrated that about 83% of women with adenomyosis experienced an improvement in their symptoms. Additionally, the rate of improvement in symptoms increased to about 93% in women who had both adenomyosis and fibroids.
They may also cause pain during penetrative sex or lower back pain. [1] [3] Someone can have one uterine fibroid or many. [1] It is uncommon but possible that fibroids may make it difficult to become pregnant. [1] The exact cause of uterine fibroids is unclear. [1] However, fibroids run in families and appear to be partly determined by hormone ...
Polycystic ovary syndrome, or polycystic ovarian syndrome (PCOS), is the most common endocrine disorder in women of reproductive age. [14] The syndrome is named after cysts which form on the ovaries of some women with this condition, though this is not a universal symptom, and not the underlying cause of the disorder.
Endometriosis is a disease in which cells like those in the endometrium, the layer of tissue that normally covers the inside of the uterus, grow outside the uterus. [8] [9] It occurs in humans and a limited number of menstruating mammals.