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A good pregnancy is never missed
In the reproductive clinic, in addition to the common "polycystic ovary syndrome", another common disease is "adenomyosis" or "endometriosis", if you have adenomyosis, how to prepare for pregnancy?
What is adenomyosis?
The normal position of the endometrium should be to cover the lining of the uterine cavity, and if the endometrium invades the myometrium, it is adenomyosis or adenomyoma, which in turn leads to a series of discomforts and consequences, such as menorrhagia, severe dysmenorrhea and infertility.
What are the causes of adenomyosis?
The main cause of the onset of adenomyosis is unclear, and there are several etiological theories at present-
What are the symptoms of adenomyosis?
One of the most common and prominent symptoms is dysmenorrhea – and it gets worse. Some patients cannot even take painkillers to relieve it; menstrual disorders and infertility may also occur, and uterine enlargement may also be accompanied by lower abdominal distention and discomfort, and even frequent urination. More than 20% of patients with adenomyosis can have infertility, and the probability of miscarriage, preterm birth, and stillbirth after pregnancy is significantly increased.
These clinical manifestations and gynecological examinations by physicians are important bases for diagnosing adenomyosis, but the "gold standard" for diagnosis is still pathological diagnosis. Among them, gynecological ultrasound can clearly display the corresponding sonogram characteristics, and is convenient, inexpensive and easy to repeat, which is the preferred imaging test for adenomyosis. In addition, pelvic MRI is increasingly being used in the diagnosis, typing, and continuous monitoring of adenomyosis after drug therapy.
How is adenomyosis treated?
Get pregnant as early as possible
When adenomyosis is not yet severe, get pregnant as early as possible. Adenomyosis is an estrogen-dependent disease that is difficult to reverse once it occurs, and as we age, it becomes more and more serious, which is very tricky.
drug therapy
If adenomyosis has occurred, the pregnancy trial is unsuccessful, or repeated miscarriages, it can be treated with drugs first, such as GnRHa drugs, which are more effective and can reduce the size of the uterus to a certain extent and increase the probability of pregnancy.
Surgical treatment
More serious adenomyosis, uterine volume is very large, drug treatment, physical treatment, are difficult to improve the symptoms and the impact on pregnancy, at this time can consider surgery for uterine volume reduction surgery, postoperative will improve the success rate of pregnancy.
IVF
Adenomyosis infertility is also one of the indications for IVF. If you can't successfully conceive after medication, surgery, ovulation induction therapy, or if you are older, you can actively consider IVF fertility.
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