Diagnosis & causes of Adenomyosis (Hindi), Dr.Pradeep Muley, New Delhi.

The diagnosis of adenomyosis is suspected if the uterus feels enlarged and tender to the touch during the pelvic examination. Ultrasound examination by an expert sonologist or MRI often detects this condition.
TVS ultrasound is the most cost effective and most available. Either modality may show an
enlarged uterus.
MRI provides better diagnostic capability due to the increased soft tissue differentiation and able to differentiate adenomyosis from multiple small uterine fibroids.
Cause of Adenomyosis
Although the cause of adenomyosis is not known, there are some speculative theories about what might trigger this painful condition. Some doctors believe procedures such as a cesarean section can promote the invasion of the endometrial cells into the uterine walls.
There is also speculation that adenomyosis is caused by uterine inflammation during childbirth. When a woman is postpartum, an inflammation of the uterine lining can occur. This inflammation might break the normal boundaries of the cells within the uterine wall.
One aspect that doctors can agree on however is that the growth directly depends upon the production of estrogen. Women who have decreased estrogen production due to menopause will see the adenomyosis go away on its own.
Since the cause is not exactly known, it is also a little hard to narrow down all of the risk factors associated with the condition. Childbirth and prior uterine surgery are the only two risk factors associated with adenomyosis that are known at this time. Anytime you have a surgery on your uterus, you are at a higher risk for developing adenomyosis due to the possible break in the uterine wall.
Cesarean section and removals of fibroids are the two most common uterine surgeries that could cause this condition.
Latest Non-surgical treatment:- Uterine artery embolization-
It is a minimally invasive interventional radiological procedure, which means it requires only a tiny nick in the skin. It is performed under anesthesia , feeling no pain and usually requires a hospital stay of one night. Many women resume light activities in next day and the majority of women are able to return to normal activities within two days.
Benefit of uterine artery embolization
- It treated focal or diffuse adenomyosis.
- It treated adenomyosis associated single/multiple fibroids.
- UAE treats focal and diffuse adenomyosis and all uterine fibroids at the same time and is, therefore, an extremely effective.
The interventional Radiologist makes a small nick in the skin (less the , of an inch) at groin, inserts a catheter, identifies uterine artery by using angiography with contrast media injection and then inject embolization particles (polyvinyl alcohol) that block the tiny vessels supplying adenomyosis and all the fibroids. This blockade of blood supply to abnormal enometriosis tissue and fibroids causes infarction) and subsequent degeneration of the adenomyosis and it starts reducing in size of uterus in few weeks. Symptoms like bleeding and pain resolve in 85% to 95% of patients.
For more detailed information login to website www.indianinterventionalradiology.com
or WhatsApp on mobile [phone]
Dr.Pradeep Muley
Senior Consultant Interventional Radiologist
New Delhi, India
Dr.Pradeep Muley Interventional Radiologist New Delhi, India

[@ashokdevikar6509]

Nice information

[@santoshgoel9872]

Adinamiosis monopose hone se finish ho jata h kya?

[@mamtasingh1636]

Adenomyosis treatment ho sakta hai sir

[@riturani5825]

Adenomyosis ke karan permanent pain rahta hai lower back aur abdomen me kya sir?

[@DrPradeepMuley]

yes