Pelvic Pain and Dyspareunia - Adenomyosis

Question 1

What is Adenomyosis?

Answer 1

Endometriosis in the myometrium.

Question 2

Epidemiology of Adenomyosis (2).

Answer 2

1. Commoner in Later Reproductive Years.

2. Commoner in Multiparous Women.

Question 3

Clinical Presentation of Adenomyosis (3).

Answer 3

1. Dysmenorrhoea.
2. Menorrhagia.
3. Dysparenuia.
4. Infertility/Pregnancy-Related Complications.
5. Asymptomatic (1/3).

Question 4

Investigations of Adenomyosis (3).

Answer 4

1. 1st Line : Transvaginal US of Pelvis.
2. 2nd Line : MRI and Transabdominal US.
3. Gold-Standard : Histology after Hysterectomy.

Question 5

Examination of Adenomyosis.

Answer 5

Enlarged and Tender Uterus and softer than uterus containing fibroids.

Question 6

Management of Adenomyosis.

Answer 6

Same as Menorrhagia.

Question 7

Complications of Adenomyosis (8).

Answer 7

Pregnancy-Related :

1. Infertility.
2. Miscarriage.
3. Preterm Birth.
4. Small for Gestational age.
5. PPROM.
6. Malpresentation.
7. C-Section.
8. PPH.