Patient's question:
On November 4th, I went for a check-up due to appendicitis and prolonged menstruation. Subsequently, I was prescribed anti-inflammatory medication. On November 23rd, I had a transvaginal ultrasound, which indicated the possibility of adenomyosis. The specific ultrasound report is as follows: (Image Quality: Grade B)Uterus: Length 54, Width 54, Thickness 53
Cervix: Diameter 26, Length 38
Endometrial Reflection: Thickness 3
Endometrial Echo: Uniform
Cavity Separation: None
Position: Anterior
Shape: Regular
Muscle Layer Echo: Inhomogeneous
Intrauterine
Doctor's answer:
Hello: Could you please tell me about your current specific symptoms? Adenomyosis is also an important cause of secondary dysmenorrhea, primarily characterized by increased menstrual flow, prolonged menstrual periods, progressively worsening dysmenorrhea, a hard and tender lower abdomen, and more pronounced tenderness during menstruation. The severity of its spasmodic or cramp-like pain is often unbearable. Some patients may also experience dyspareunia. A few patients may have vaginal spotting before or after menstruation, and ultrasound may reveal irregular echoes in the muscular layer. Gynecological examination may show an enlarged uterus, altered contours, or localized nodular elevations.Endometrial tissue invading the uterine muscle layer is called adenomyosis. This condition is more common in parous women over 30, often occurring after childbirth, induced abortion, or D&C surgery. Approximately half of the patients with adenomyosis also have uterine fibroids, and 15% have pelvic endometrial ectopia. About 30% of patients with adenomyosis have no clinical symptoms. Adenomyosis may also cause postmenopausal bleeding, although this is uncommon but.