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22 Eylül 2016 Perşembe

adenomyosis


ADENOMİOZİS
(Endometriosis interna)
of glands in the endometrium and myometrium layer of the uterus is the presence of stromal tissue. Estrogen is one of a growing dependent diseases, such as menopause when estrogen decreases adenomyosis decline.

Who is more commonly seen in? What are the risk factors?
- Advanced age
- More delivery (multiparty)
- Are undergoing cesarean section or uterine surgery
- Polymenorrhoea (are menstruating at frequent intervals)
- Early menarche

Signs and symptoms:
- Excessive or prolonged menstrual bleeding (menorrhagia)
- To be in clots of menstrual bleeding
- Dysmenorrhea (Menstrual pain)

Diagnosis:
The soft and grown to be a global examination of the uterus is the most significant findings. Examination methods such as ultrasound and MR adenomyosis sion could only be set after hysterectomy certain histopathological diagnosis.

Differential diagnosis:
Uterine myoma, endometrial polyps, endometrial hyperplasia, endometrial ca. With such excessive bleeding should be considered in the differential diagnosis of diseases presenter.

Adenomyosis theories about the formation:
- Some experts think that direct invasion of endometrial cells into the myometrium occurs as a result of adenomyosis. Operations performed Cesarean incision in the uterine wall as this may cause invasion.
- The development stage of adenomyosis embrioyo According to another theory, the endometrial cells develop in the remaining myometrium.
- The theory that there might be cause postpartum endometritis development of infections such as adenomyosis
- Stem cells settled in the myometrium of adenomyosis theory that there might be reasons

Treatment:
Some drug treatments to reduce menstrual bleeding is rarely useful. For this purpose, NSAIDs, COC, GnRH analogues. Uterine artery embolization applied. Hysterectomy is the most definitive treatment.

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