Artist Sun Huixue shared her pregnancy process on social platforms earlier, and also revealed that she has adenomyosis. Although women with mild localized adenomyosis have the same chance of pregnancy and the risk of complications after pregnancy as ordinary people, but if it is diffuse adenomyosis, it will be more difficult to conceive, and it will also increase Risks such as miscarriage and premature birth have to be cautious.
Li Runting, a specialist in obstetrics and gynecology, said that adenomyosis is one of the endometriosis diseases, and the endometrial tissue of the uterus abnormally appears in the muscle layer of the uterus. If the endometrial tissue is only concentrated in one position of the uterine wall, it is localized. If the endometrial tissue is scattered throughout the muscle layer of the uterus, it is diffuse and has a greater impact on patients.
Common menstrual pain and heavy menstrual bleeding
The endometrial tissue located in the muscle layer of the uterus is also affected by female hormones. It will thicken and bleed with the menstrual cycle. When blood clots accumulate in the uterine muscle, it may cause inflammation, uterine hypertrophy, menstrual pain, and excessive menstrual bleeding. Li Runting continued to point out “In severe cases, menstrual disorders, chronic pelvic pain, dyspareunia, difficulty urinating or defecating, and even anemia may occur and affect daily life.” Discover.
prone to pregnancy complications
For women with localized adenomyosis, the chances of pregnancy and the risk of complications after pregnancy are similar to those of ordinary people, but patients with diffuse adenomyosis, in addition to uterine hypertrophy, are also affected by endometriosis Lead to pelvic adhesions, fallopian tube blockage, etc., and then reduce the chance of conception. Even if the pregnancy is successful, the patient is more prone to complications, including miscarriage, premature delivery, etc., or may cause abnormal fetal position and require caesarean section. As for postpartum, adenomyosis can affect uterine contractions and increase the risk of postpartum hemorrhage.
relieve symptoms
Li Runting said frankly that the cause of adenomyosis is unknown and cannot be prevented, but there are still ways to deal with it. “The main goal of treatment is to relieve symptoms. For mild symptoms, oral medication can be considered. Hemostatic drugs can reduce menstrual flow. Painkillers such as Paracetamol or non-steroidal anti-inflammatory drugs can relieve the pain caused by adenomyosis. Hormonal drugs, such as birth control pills or medicated intrauterine rings, are also effective ways to relieve symptoms. The use of hormonal drugs will not affect the chances of future conception. Pregnancy can be planned simply by discontinuing the pill or removing the medicated IUD.”
HIFU Uterus Preservation
If the symptoms are severe, the drug treatment is ineffective and the patient has no fertility requirements, a hysterectomy can be considered, and then the ovaries can be preserved according to the age of the patient to cure the problem. Li Runting pointed out, “Although there will be no menstrual period after hysterectomy, if the ovaries are preserved, the body’s hormone level will not be affected, and menopausal symptoms will not appear.” If you still want to have children, you can consider high-intensity focused ultrasound ablation (HIFU), using the heat energy generated by focused ultrasound, destroys the adenomyotic tissue in the muscle layer to achieve therapeutic effects, but there may be a risk of recurrence in the future. Li Runting reminded that patients with severe symptoms, or those who have tried to conceive for half a year but have not succeeded, should seek an examination and follow-up by an obstetrician and gynecologist as soon as possible.
Originally published on AM730 https://www.am730.com.hk/Health/Adenomyosis-or pregnancy complications-/359598?utm_source=yahoorss&utm_medium=referral
