http://www.nlm.nih.gov/medlineplus/ency/article/001513.htm
Adenomyosis
Adenomyosis is uterine thickening that occurs when endometrial tissue, which normally lines the uterus, moves into the outer muscular walls of the uterus.
Causes
The cause is unknown. Sometimes adenomyosis may cause a mass or growth within the uterus, which is called an adenomyoma. The disease usually occurs in women older than 30 who have had children.
Symptoms
Long-term or heavy menstrual bleeding Painful menstruation , which gets increasing worse Pelvic pain during intercourse Note: In many cases, the woman may not have any symptoms.
Treatment
Most women have some adenomyosis as they near menopause but few women have symptoms, and most women dont require any treatment. In some cases, pain medicine may be needed. Birth control pills and a progesterone-containing intrauterine device (IUD) can help decrease heavy bleeding. A hysterectomy may be necessary in women with severe symptoms.
Outlook (Prognosis)
Symptoms usually go away after menopause. A hysterectomy completely relieves symptoms.
Alternative Names
Endometriosis interna; Adenomyoma
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http://www.nlm.nih.gov/medlineplus/ency/article/001513.htm
References
Katz VL. Benign gynecologic lesions: vulva, vagina, cervix, uterus, oviduct, ovary. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 18. Meredith SM, Sanchez-Ramos L, Kaunitz AM. Diagnostic accuracy of transvaginal sonography for the diagnosis of adenomyosis: systematic review and metaanalysis. Am J Obstet Gynecol . 2009;201:107.e1-6.
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