{"id":1288,"date":"2019-08-07T11:18:24","date_gmt":"2019-08-07T11:18:24","guid":{"rendered":"http:\/\/www.mymedicplus.com\/news\/?p=1288"},"modified":"2021-03-31T00:54:56","modified_gmt":"2021-03-30T19:24:56","slug":"this-little-known-gynecological-condition-can-cause-heavy-painful-periods","status":"publish","type":"post","link":"https:\/\/www.mymedicplus.com\/blog\/this-little-known-gynecological-condition-can-cause-heavy-painful-periods\/","title":{"rendered":"This Little-Known Gynecological Condition Can Cause Heavy, Painful Periods"},"content":{"rendered":"\n<p>Source:<\/p>\n<p>You\u2019ve probably heard of\u00a0endometriosis, a gynecological condition that can cause women to have debilitating pelvic pain, excessive bleeding, bloating and infertility. But did you know that it has a lesser-known sister condition called\u00a0adenomyosis?<\/p>\n<p>Adenomyosis likely affects millions of women, but it\u2019s not well understood. The knowledge base is growing, though, and medical experts are coming to better understand how to effectively diagnose it and help women manage it.<\/p>\n<p>\u201cIt used to be thought that adenomyosis only occurred in older women, but it\u2019s now being diagnosed earlier,\u201d says\u00a0Rosanne Kho, MD, Head of the Section of Benign Gynecology and a subspecialist in minimally invasive gynecologic surgery. That\u2019s probably because gynecologists have better tools than ever to diagnose it, she suggests.<\/p>\n<p>There\u2019s still much to learn about this condition. But it\u2019s understood that it can deeply affect a woman\u2019s quality of life \u2014 and potentially her fertility.<\/p>\n<blockquote class=\"wp-block-quote\">\n<p>\u201cAdenomyosis is getting much more attention now,\u201d Dr. Kho says. \u201cHopefully in the next few years we will be able to understand this condition better.\u201d<\/p>\n<\/blockquote>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_84 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.mymedicplus.com\/blog\/this-little-known-gynecological-condition-can-cause-heavy-painful-periods\/#Endometriosis_and_adenomyosis\" >Endometriosis and adenomyosis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.mymedicplus.com\/blog\/this-little-known-gynecological-condition-can-cause-heavy-painful-periods\/#Secondary_effects\" >Secondary effects<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.mymedicplus.com\/blog\/this-little-known-gynecological-condition-can-cause-heavy-painful-periods\/#Treatment_approaches\" >Treatment approaches<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.mymedicplus.com\/blog\/this-little-known-gynecological-condition-can-cause-heavy-painful-periods\/#Steps_to_take\" >Steps to take<\/a><\/li><\/ul><\/nav><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Endometriosis_and_adenomyosis\"><\/span>Endometriosis and adenomyosis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Endometriosis and adenomyosis can cause some of the same symptoms, but what\u2019s happening inside the body isn\u2019t quite the same. And a woman could actually have both.<\/p>\n<p>In endometriosis, some of the tissue that lines the inside of the uterus travels outside of the uterus, attaches itself to other pelvic organs and continues to bleed monthly. In adenomyosis, that tissue instead embeds itself inside the wall or muscle of the uterus, causing the uterus to swell.<\/p>\n<p>Some women don\u2019t have any symptoms, but many who are eventually diagnosed with adenomyosis are tipped off that something is wrong because of heavy periods and agonizing pain, Dr. Kho says.<\/p>\n<p>Doctors used to only be able to make an adenomyosis diagnosis after a woman had her uterus removed to get rid of her symptoms, and a pathologist could see that there was indeed endometrial tissue inside the walls of her uterus.<\/p>\n<blockquote class=\"wp-block-quote\">\n<p>But thanks to greater awareness of the condition and improvements in diagnostic tools like transvaginal ultrasound and MRI imaging, gynecologists can now see signs of the disease in women who haven\u2019t had a hysterectomy.<\/p>\n<\/blockquote>\n<p>It\u2019s hard to know how many women have this condition, and experts aren\u2019t sure exactly what causes it. But some think that women who have\u00a0been pregnant\u00a0or had surgery on their uterus are at higher risk, Dr. Kho says.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Secondary_effects\"><\/span>Secondary effects<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Adenomyosis is not fatal, and symptoms often go away after menopause. However, research has shown that the presence of adenomyosis does elevate a woman\u2019s risk of\u00a0endometrial and thyroid cancers.<\/p>\n<p>Because it causes changes in the uterus itself, experts also suspect that adenomyosis can\u00a0make it harder\u00a0for a woman to get pregnant. But research on this has been limited \u2014 and complicated by the fact that adenomyosis often occurs hand-in-hand with other factors that affect a women\u2019s fertility, such as fibroids and endometriosis.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Treatment_approaches\"><\/span>Treatment approaches<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Today there are several ways doctors can treat adenomyosis, including options that preserve the uterus for women who still wish to have children.<\/p>\n<blockquote class=\"wp-block-quote\">\n<p>Which approach is best depends on a woman\u2019s symptoms, whether she wants to have children and the extent of the adenomyosis.<\/p>\n<\/blockquote>\n<p>Over-the-counter, anti-inflammatory medicines are the first step in helping with the pain. Beyond that, progestin-only hormonal therapies like an IUD may also ease pain and bleeding \u2014 or eliminate periods all together, Dr. Kho says. Other forms of hormonal therapies such as birth control pills, patches or rings, may also be recommended.<\/p>\n<p>If medication isn\u2019t able to decrease symptoms, women may consider other options:<\/p>\n<ul>\n<li><strong>Endometrial ablation<\/strong>: This minimally invasive procedure that destroys the lining of the uterus may produce good results when the misplaced endometrial tissue occurs in a cluster. When the tissue is spread out or extensive, it may be able to be treated this way if it is not embedded deeply in the walls of the uterus.<\/li>\n<li><strong>High-intensity focused ultrasound ablation<\/strong>: HIFU is a relatively new treatment that seems to be a\u00a0promising noninvasive option\u00a0for patients, Dr. Kho says, but there haven\u2019t been enough comparative studies showing its efficacy, safety and outcomes on pregnancy just yet.<\/li>\n<li><strong>Surgical removal:<\/strong>\u00a0A surgeon can remove the affected areas of the uterus, but it\u2019s not going to be perfect. \u201cWe would often end up excising healthy tissue and\/or leaving some diseased tissue behind,\u201d Dr. Kho explains. \u201cRemoving good tissue could put the patient at risk for worse pregnancy outcomes such as uterine rupture.\u201d<\/li>\n<li><strong>Hysterectomy:<\/strong>\u00a0Removal of the uterus eliminates adenomyosis but also eliminates the chance for pregnancy.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Steps_to_take\"><\/span>Steps to take<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>If you have periods that are heavy or painful, or experience pelvic pain when you\u2019re not on your period, talk with your Ob\/Gyn. Any number of things could be going on, so it\u2019s best to get to the bottom of it ASAP.<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":1289,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[1460,389,1458,1459,1321,113],"class_list":["post-1288","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-adenomyosis","tag-endometriosis","tag-gynecological","tag-painful","tag-periods","tag-women"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>This Little-Known Gynecological Condition Can Cause Heavy, Painful Periods - MyMedicPlus<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.mymedicplus.com\/blog\/this-little-known-gynecological-condition-can-cause-heavy-painful-periods\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"This Little-Known Gynecological Condition Can Cause Heavy, Painful Periods - 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