Adenomyosis is a common gynecological disease with a very high incidence rate among women of childbearing age. For adenomyosis, the current prevention and treatment strategies mainly start from reducing the inducements. Only by reducing the inducements can the occurrence of adenomyosis be avoided or reduced.
However, because the clinical manifestations of many clinical diseases, especially adenomyosis, are very similar to some common gynecological diseases, extra caution needs to be exercised in diagnosis. To diagnose adenomyosis, you may need to know these 3 diagnostic points.
1. Diagnostic Point 1: Patient’s Signs
Generally speaking, if there is adenomyosis, the patient may have these signs. First, there will be abnormal dysmenorrhea , and the patient will show secondary dysmenorrhea, and will show progressive aggravation, and the dysmenorrhea is directly proportional to the severity of the condition; second, the patient can feel that his uterus is enlarged, especially during gynecological examination, through bimanual diagnosis and trimanual diagnosis, the enlarged uterus can be touched.
However, although these signs can be used as an important diagnostic basis for adenomyosis, they are not an absolute diagnostic basis because these clinical manifestations are not exclusive to adenomyosis.
2. Diagnosis Point 2: The patient’s menstrual status
Menstruation is an important auxiliary basis for the diagnosis of gynecological diseases. If many women have gynecological problems, they can judge whether it is a gynecological disease from the perspective of menstrual management. Patients with adenomyosis may exhibit menstrual disorders, mainly prolonged menstrual periods and irregular cycles. Moreover, patients may also experience dysmenorrhea two days before menstruation, which is a typical clinical manifestation of adenomyosis and an important evidence for adenomyosis.
Of course, endometriosis patients can also show symptoms similar to those of adenomyosis, such as menstrual cycle disorders, dysmenorrhea, etc. Therefore, in clinical practice, it is necessary to learn the differential diagnosis of these two diseases.
3. Diagnosis key three: auxiliary examination
Diagnosis of adenomyosis relies only on the naked eye and routine gynecological examination. Sometimes the diagnosis is inevitably missed, so some other examination methods are needed.
First, through B-ultrasound , imaging examination can directly detect whether there are abnormalities in the uterus, especially if the uterus is not significantly enlarged, bimanual diagnosis may not be able to find it. In this case, B-ultrasound can generally be used to detect abnormalities. Question;
Second, through peripheral blood examination, some abnormally elevated indicators, such as CA125 in serum, if this indicator is significantly higher than the normal value, or even exceeds dozens of times, then it can generally be determined that it is adenomyosis.
Generally speaking, it is not difficult to diagnose adenomyosis, and everyone needs to pay more attention to it clinically, especially adenomyosis, which often appears at the same time as endometriosis. Therefore, whenever abnormal menstrual cramps appear and tend to get worse, you need to pay attention. It is very likely that adenomyosis has come to your door.
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