Adenomyosis Flashcards
What is adenomyosis?
presence of functional endometrial tissue in the myometrium of the uterus
How does it differ to endometriosis?
endometriosis occurs outside the uterus, adenomyosis is strictly within the uterus
wHat condition does it frequently occur together with?
fibroids
In who is adenomyosis more common in?
older multiparous women
What hormone is adenomyosis dependent on?
oestrogen
What is the aetiology
when endometrial stroma can communicate w underlying myometrium after uterine damage, which can occur in:
pregnancy and birth
CS
uterine surgery
surgical management of miscarriage or TOP
What are the symptoms
menorrhagia
dysmenorrhoea
deep dyspareunia
irregular bleeding
What may be found on examination
symmetrically enlarged tender uterus
What are investigations
hysterectomy w biopsy is definitive
TVS
MRI
What is hormonal management
COCP
Mirena
GnRH agonists
Aromatase inhibitors
What is non-hormonal management
hysterectomy
uterine artery embolisation
