Is There A Difference Between Adenomyosis and Adenomyoma?

Gynecological diseases plague the hearts of many women. Some are suddenly unwell and are told that they have gynaecological lesions when they are unwell. While some small changes in women's bodies may not be enough to pay attention to and will only be discovered during some physical examinations. Gynecological tumors in women, for example, are not easy to detect, and tumors do not have any major abnormal symptoms when they first occur.

What are the differences between adenomyosis and adenomyoma? It mainly manifests in physical examinations, symptoms, and auxiliary examinations.

1. The difference in physical examinations

Adenomyoma causes patients to experience inexplicable uterine enlargement, even reaching or exceeding the size of the stomach of a three-month-pregnant woman. The texture is also somewhat hard, and the feeling of nodules is very obvious.

Adenomyosis patients also causes a significant increase in the uterus, but it is mostly spherical. And it's basically no more than the size of three months pregnant. At the same time, patients will also have other signs of endometriosis lesions, and their ability to move will also be limited to a certain extent.

2. The difference in symptoms

Adenomyoma, like other uterine diseases, has metaphorical symptoms. Symptoms are not easy to detect after the onset of the disease, so many patients can easily ignore it after becoming ill. However, it is also possible to discover its main related symptoms through careful observation. Most patients experience irregular menstruation after becoming ill. The main symptoms are prolonged menstruation and increased bleeding. A few patients will also have little bleeding before and after menstruation. This is because as the size of the uterus increases, the area of the endometrium increases, which affects the phenomenon caused by contraction of uterine muscle fibers. In severe cases, it can even induce patients to develop anemia.

Patients may have secondary dysmenorrhea. It starts to appear about 3 days before menstrual cramps, and relieves after the end of menstruation. This is because during menstruation, the ectopic endometrium becomes congested and swollen under the influence of ovarian hormones. At the same time, it also increases blood flow in the myometrium vessels, causing the otherwise normal myometrium to expand, causing severe dysmenorrhea.

Adenomyosis is when the endometrial glands and structures invade the myometrium. It mostly occurs in pregnant women between the ages of 30 and 50. It may be caused by damage to the basal layer of the endometrium caused by multiple pregnancies, childbirth, artificial abortions, chronic endometritis, etc., causing the endometrium to invade the muscle layer to grow.

The main symptoms are increased menstrual flow, prolonged periods, and progressive dysmenorrhea that gradually worsens. The most important thing is that the pain of progressive dysmenorrhea is in the center of the lower stomach, often starting one week before menstruation until the end of menstruation. 35% of patients have no typical symptoms. But if most patients have symptoms of dysmenorrhea, and sometimes dysmenorrhea is severe and unbearable.

Most cases of adenomyosis patients have severe dysmenorrhea, or a history of uterine surgery before. Some patients may even find that when pain occurs, even taking painkillers does not relieve the symptoms of pain.

3. The difference in auxiliary examinations

After women have adenomyoma, a clear diagnosis can be made through B-ultrasound. The most important sign is that the uterus has increased markedly, the shape is abnormal at the same time, and a semicircular blood flow signal will also occur in the surrounding area. Furthermore, patients usually do not experience a significant increase in serum.

If it is adenomyosis, then a spherical uterus will occur, and the thickening phenomenon is quite obvious. There may even be an uneven recovery, which will be discovered after a thorough examination. Furthermore, the serum of patients with adenomyosis is clearly elevated. 

So the difference between adenomyosis and adenomyoma should be determined based on the above description. If it is impossible to make a correct diagnosis, diagnosis can be made under the guidance of a doctor.

Whether it is adenomyosis or adenomyoma, it will have a great impact on patients and require active treatment. For the treatment of adenomyosis, patients can choose traditional Chinese medicine Fuyan Pill to eliminate symptoms and restore reproductive health. Adenomyoma generally requires surgical treatment to avoid losing too much blood and developing severe symptoms such as anemia.

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Experiencing Severe Dysmenorrhea, Can Females With Adenomyosis Get Pregnant?