Uterine adenomyosis is near menopause. Do you want to wait for it?
Author:Shen Sufeng of Obstetrics and Time:2022.07.24
Many patients with uterine adenomyosis feel that as long as they can go through menopause, they will be sick, and they don't need to take medicine, injections, shelters, and surgery.
During the outpatient clinic of the previous two days, I happened to be diagnosed with two patients who were surrounded by menstrual periods. They were 47 and 49 years old. They all had excessive menstrual flow and had anemia.
One manifestation of a small amount of long -term bleeding, inexhaustible for more than ten days, the "front" pulled very long; the other manifested it as a large amount of bleeding in a short time.
The demands they came to the clinic were to stop the blood, and then healed after menopause.
As usual, check the patient's previous examination and test results. Among them, the uterus of the patient with a lot of blood increased significantly, about 11 × 10 × 9 cm large, and the uterine endometrium was unevenly thickened. The endometrium was 7 mm thick. There is a cystic echo of about 2 cm in the right ovary, 67 grams/liter of hemoglobin ...
I told the patients and their families that one is that the amount of bleeding has a large amount of bleeding, which leads to moderate anemia and affects health in the long run. The second is that the uterus is large and has reached the standard of surgery. Tumor marks also indicate abnormalities, which means that the lesions are progressing.
Therefore, my suggestion is: stop the hemostasis as soon as possible, don't wait anymore. After listening to my words, the patient took the initiative to cooperate and explained the medical history.
Another bloody patient said that he wanted to wait, because he didn't have much menstrual flow, it was a long time, and he was almost menopausal. After menstruation, menstruation and bleeding were not bleed. Isn't it good?
I told her that the amount of bleeding, although there is not much bleeding during the unit time, but the long time of bleeding can cause anemia and affect physical health. In addition, menopause is not good or healing.
Uterine adenomyosis, this disease has estrogen -dependent, decreased in estrogen hyperemia after menopause, and some patients' lesions tend to static state due to lack of support for estrogen hormones. Symptoms are relieved or disappeared, not disease disappearance. But not all patients will have such an ending, some patients can continue to grow even after menopause.
What kind of uterine adenomia disease is suitable for menopause?
We generally recommend that symptoms are mild, not accompanied by abnormal menstruation, and patients with a nearly menstruation of the uterus less than 8 weeks of pregnancy can choose to wait for menopause.
Note: In the process of waiting for the menopause, it is necessary to review regularly, and wait for abnormalities to terminate and wait.
Unfortunately, these two patients do not meet these conditions.
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