Dr.

Jaime Obst
OB/GYN

Objectives

Learn about adenomyosis

Symptoms
Risk factors
Diagnosis
Treatment options

Answer questions

What is adenomyosis?

When endometrial glands are present

within the uterine musculature

http://www.alternativesurgery.com/education/adenomyosis/

What are the symptoms?

Heavy periods
Painful periods
Chronic pelvic pain
? Infertility
Ages 40-50
Enlarged uterus

No symptoms

What are the risk factors?

Higher number of pregnancies
Early onset of menses
Short menstrual cycles
Painful menses
Depression
Chronic pelvic pain
History of endometriosis
http://www.health.com/health/article/0,,20
410840,00.html
Prior uterine surgery

What else could it be?

Fibroids
Uterine polyp
Endometrial hyperplasia
Adenocarcinoma
Endometritis
Endometriosis
http://www.medicinenet.com/images/illustrations/20

13-illustration-uterine-polyps.jpg

http://www.dajmd.com/endometriosis.html

How is it diagnosed?
Hysterectomy
MRI or transvaginal ultrasound

http://www.glowm.com/section_view/heading/Adenomyosis/item/601

What are the treatment options?

Surgical
Nonsurgical

Surgical treatment

Hysterectomy
Vaginal
Laparoscopic
Robotic
Abdominal

http://healthtopics.hcf.com.au/Hysterectomy.aspx

Surgical treatment

conservative surgical treatment

Endometrial ablation

Endometrial resection

http://www.monlezun.com/therma.htm

http://www.familydoctor.co.uk/info/hysterectomy-minor-surgical-treatment/

Nonsurgical treatment

Mirena IUD
http://www.mirena-us.com/

Birth control pills

http://birthcontroltab.com/

Lupron

https://fiscafamily.wordpress.com/category/rage-ramblings/

Uterine artery embolization

Radiologist-performed procedure where

blood supply to uterus is blocked off

http://www.uterinefibroidsinfo.com/what-is-uterine-fibroid-embolization/

Summary
Adenomyosis is a common cause of
painful periods, pelvic pain, and heavy
periods
It can be diagnosed with MRI or
ultrasound, but most often after
hysterectomy
There are some non-surgical treatment
options, but hysterectomy is the best
treatment

Questions?