Adenomyosis Quiz

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Reviewed By:

Ravi P. Chokshi, MD

Ravi P. Chokshi, MD (Obstetrics and Gynecology (OBGYN), Critical Care)

Current Maternal Fetal Medicine Fellow with Dual board certification in Obstetrics & Gynecology and Critical Care Medicine. | 5+ years experience managing a general Ob/Gyn practice and working in the Intensive Care Unit. | Previously Physician Lead of a large single specialty practice with 8 Physicians and 10+ Advanced practitioners. | Member of the Society of Maternal Fetal Medicine Patient education committee. | Frequent Medscape Consult contributor.

Seiji Kanazawa, MD, PHD

Seiji Kanazawa, MD, PHD (Obstetrics and Gynecology (OBGYN))

Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.

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Content updated on Mar 31, 2024

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How Ubie Can Help You

With an easy 3-min questionnaire , Ubie's AI-powered system will generate a free report on possible causes.

Questions are customized to your situation and symptoms, including the following personal information:

  • Biological Sex - helps us provide relevant suggestions for male vs. female conditions.

  • Age - adjusts our guidance based on any age-related health factors.

  • History - considers past illnesses, surgeries, family history, and lifestyle choices.

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What is Adenomyosis?

Adenomyosis is a condition of the uterus (womb) that can occur in women. It occurs when cells of the uterine lining (endometrium) migrate or grow into the muscle layer (myometrium). This can cause the uterus to enlarge, and make menstruation more painful and heavier than normal. While it is not dangerous on its own, it can be very uncomfortable for patients and can affect their enjoyment of life. The heavy bleeding can also make patients anemic and affect their medical health. The exact cause is not known but uterine adenomyosis is more common in women who are in their 30's and 40's and have had children.

Typical Symptoms of Adenomyosis

  • Stomach pain or tummy ache in a specific place

  • Periods last more than 8 days

  • Pain in the pelvis- the lowest part of the abdomen, between the belly button and groin

  • Lower abdominal pain

  • Excessively heavy periods

  • Bleeding in between menstrual cycles / periods or after menopause

  • Abnormal period length or flow

  • Low back pain

Doctor's Diagnostic Questionson Adenomyosis

Your doctor may ask these questions to check for this disease:

  • Is your stomach pain localized to one specific area?

  • Does your period last longer than 8 days?

  • Do you have pelvic pain?

  • Do you have lower abdominal pain?

  • Do you have heavy menstrual bleeding or clots?

Treatmentof Adenomyosis

Adenomyosis only requires treatment if the symptoms are bothersome to the patient, or causing severe anemia. It typically improves and goes away on its own after menopause. If symptoms are bothersome, pain medication, hormonal pills or progesterone containing intrauterine devices can be helpful. For women that do not desire more children, a hysterectomy (surgery to remove the uterus) can also be considered and would be curative.

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References

  • Lacheta J. Uterine adenomyosis: pathogenesis, diagnostics, symptomatology and treatment. Ceska Gynekol. 2019 Spring;84(3):240-246. English. PMID: 31324117.

    https://www.prolekare.cz/en/specialist-agreement

  • Harada T, Khine YM, Kaponis A, Nikellis T, Decavalas G, Taniguchi F. The Impact of Adenomyosis on Women's Fertility. Obstet Gynecol Surv. 2016 Sep;71(9):557-68. doi: 10.1097/OGX.0000000000000346. PMID: 27640610; PMCID: PMC5049976.

    https://journals.lww.com/obgynsurvey/Fulltext/2016/09000/The_Impact_of_Adenomyosis_on_Women_s_Fertility.20.aspx

  • Vannuccini S, Petraglia F. Recent advances in understanding and managing adenomyosis. F1000Res. 2019 Mar 13;8:F1000 Faculty Rev-283. doi: 10.12688/f1000research.17242.1. PMID: 30918629; PMCID: PMC6419978.

    https://f1000research.com/articles/8-283/v1

  • Osada H. Uterine adenomyosis and adenomyoma: the surgical approach. Fertil Steril. 2018 Mar;109(3):406-417. doi: 10.1016/j.fertnstert.2018.01.032. PMID: 29566853.

    https://www.fertstert.org/article/S0015-0282(18)30032-3/fulltext

  • Szubert M, Koziróg E, Olszak O, Krygier-Kurz K, Kazmierczak J, Wilczynski J. Adenomyosis and Infertility-Review of Medical and Surgical Approaches. Int J Environ Res Public Health. 2021 Jan 30;18(3):1235. doi: 10.3390/ijerph18031235. PMID: 33573117; PMCID: PMC7908401.

    https://www.mdpi.com/1660-4601/18/3/1235

  • NIH NCBO Stat Pearls - Adenomyosis

    https://www.ncbi.nlm.nih.gov/books/NBK539868/

User Testimonials

Reviewed By:

Ravi P. Chokshi, MD

Ravi P. Chokshi, MD (Obstetrics and Gynecology (OBGYN), Critical Care)

Current Maternal Fetal Medicine Fellow with Dual board certification in Obstetrics & Gynecology and Critical Care Medicine. | 5+ years experience managing a general Ob/Gyn practice and working in the Intensive Care Unit. | Previously Physician Lead of a large single specialty practice with 8 Physicians and 10+ Advanced practitioners. | Member of the Society of Maternal Fetal Medicine Patient education committee. | Frequent Medscape Consult contributor.

Seiji Kanazawa, MD, PHD

Seiji Kanazawa, MD, PHD (Obstetrics and Gynecology (OBGYN))

Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.

From our team of 50+ doctors

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