Adenomyosis Flashcards
What is Adenomyosis?
The presence of endometrial tissue within the myometrium
Who is Adenomyosis more common in?
Multiparous women (given birth to more than one baby)
When does Adenomyosis normally occur?
In a woman’s later reproductive years
What are the main features of Adenomyosis?
Dysmenorrhoea
Menorrhagia
(Painful, heavy periods)
How does the uterus present in Adenomyosis?
Enlarged, boggy uterus
(enlarged, soft, and tender uterus)
What is the medical management of Adenomyosis?
GnRH agonists
(Gonadotropin-releasing hormone)
What is the definite management of Adenomyosis?
Hysterectomy
What is adenomyosis due to?
Endometrial mass does not flow out of body during menses
Instead, it accumulates inside myometrium, resulting in swelling of uterus
How can adenomyosis be diagnosed?
Transvaginal ultrasound
(MRI alternative)
What medication can be given for symptomatic reflief of menorrhagia?
Tranexamic acid
