Adenomyosis Flashcards
What is Adenomyosis?
When there is endometrial tissue inside the myometrium.
Who is commonly affected by Adenomyosis?
It is more common in later reproductive years and those that have had several pregnancies.
What are the symptoms of Adenomyosis?
Painful heavy periods
Pain during intercourse
Infertility
Pregnancy related complications
Enlarged & tender uterus
What is the gold standard for diagnosis of Adenomyosis?
Histological examination of the uterus after a hysterectomy.
What are the investigations for Adenomyosis?
Transvaginal ultrasound
Transabdominal ultrasound
Abdominal MRI
Histological examination
What is the treatment for Adenomyosis in women not wanting contraception?
Treatment can be used during menstruation for symptomatic relief.
Tranexamic acid when there is no associated pain.
Mefenamic acid when there is associated pain.
What is the management of Adenomyosis when contraception is wanted?
Mirena coil
Combined oral contraceptive pill
Cyclical oral progestogens
What are some specialist treatment options for Adenomyosis?
GnRH analogues to induce a menopause like state
Endometrial ablation
Uterine artery embolisaiton
Hysterectomy
What are the possible complications of Adenomyosis?
Infertility
Miscarriage
Preterm birth
Small for gestational age
Preterm premature rupture of membranes
Malpresentaiton
Need for C-section
Postpartum haemorrhage
