What is the difference between uterine fibroids and adenomyomas?

Patient's question:

Three years ago, a thorough examination revealed uterine fibroids. Today, during a health check-up at the hospital, it was discovered that the uterus has adenomyoma. What are the differences between uterine fibroids and adenomyoma?

Doctor's answer:

Patient, it is a pleasure to clarify this for you. Based on your description, uterine fibroids and adenomyosis are different conditions. Uterine fibroids are estrogen-dependent growth tumors that can occur in any part of the uterus, are usually benign, and can interfere with menstruation, cause painless pregnancy. Adenomyosis is caused by damage to the basal layer of the endometrium due to factors such as repeated induced abortions or chronic endometritis, leading to progressively increasing menstrual volume, shortening of the menstrual cycle, and progressive dysmenorrhea. If you are older and have given birth, hysterectomy may be considered.

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