Adenomyosis Pain

Adenomyosis Pain

Diagnosis is often by mistake because of the failure to diagnose the actual situation responsible for the pain. In these cases, the patient is an effective treatment on the other hand denied Rashid aimed at the underlying disease. Typically, the diagnosis of adenomyosis or fibroids are the cause of pelvic pain. A woman with chronic pelvic pain should be subject to systematic and comprehensive in order to exclude a variety of circumstances. These include diseases of women and the digestive system, urinary tract and nervous system, diseases of the muscles and bones. Gynecological conditions that can cause pelvic pain include fibroids, adenomyosis, endometriosis, pelvic inflammatory disease, pelvic adhesions, ovarian diseases (such as a bag), pelvic congestion syndrome, diseases of the fallopian tube. If the reasons have been excluded of the reproductive system of women, there may be a need to evaluate the digestive exclude conditions such as inflammatory bowel disease, and diverticulitis and irritable bowel syndrome. Urinary tract conditions that may cause pelvic pain include bladder infection, urinary tract stones (stones in the urinary tract, and inflammation of the urethra.
Pelvic floor disorders muscular skeletal system is a common cause of chronic pelvic pain. Pelvic floor muscle tension has been linked to painful intercourse (dyspareunia), and urinary urgency and frequency, perineal pain (vulvodynia), as well as the dissemination of pelvic pain. Normally, muscles in the pelvic floor is excessive tension with the trigger points. These points give rise to irritation of the pain may refer to the bottom of the abdomen, suprapubic region, hips, perineum and tail bone, or lower back. This phenomenon may lead to confusion about the source of pain. Expert assessment of the pelvic floor in a positive identification of skeletal muscle source of pain, and to identify specific points of the trigger. Laparoscopy in these patients yielding negative results. Physical treatment of the condition is directed to specific results and to release the trigger points.
Pelvic congestion syndrome is a mild pain or achy, mostly women in the parous, due to varicose veins in the pelvis. Pain is exacerbated by conditions that increase pressure within the abdomen, such as constipation requiring pressure to pass stool, and standing for long periods of time / walking, lifting heavy loads. Pain is often relieved by lying down. Pain during intercourse is a typical, and may continue for hours and days. Patients may avoid sexual intercourse for this reason. Adnexal tenderness during the examination model. Ultrasound has limited value for the diagnosis of the situation. Laparoscopy is also limited because of varicose veins beneath the surface of the peritoneum and peritoneal pressure of the air inside the veins. Diagnosis can be done by venography through the thigh. A catheter is inserted into a vein and the left thigh in the left ovarian vein. Ovarian vein is enlarged (> 4mm) or incompetent, and side by side with the expansion of the arteries of the uterus. Tomography and magnetic resonance imaging venopgraphy not allow for the detection of invasive veins as well as extended immediate treatment with embolisation particles from the veins of the ovary. Such treatment may reduce the fertility rate. Other treatment options are hysterectomy with or without oophorectomy. Ovarian suppression with Lupron can also provide temporary relief. Pelvic varices may be present in the symptoms of women completely. It is therefore important to establish a diagnosis of pelvic congestion syndrome and diagnosis of exclusion, women in maltiparous, with dilated pelvic veins with the islands, when all other possible causes of pelvic pain has been ruled out. In my experience, and was misdiagnosed many women with adenomyosis diagnosed and ill-treatment of pelvic congestion syndrome.
Sometimes chronic pelvic pain and psychological. In 50% of women with chronic pelvic pain has a long history of sexual abuse in childhood can be identified. Therefore, when all organic causes of pelvic pain have been excluded, and the psychological evaluation is necessary. Sometimes chronic pelvic pain and found to be associated with congestion in the pelvic veins (varicose veins basin). Diagnosis of pelvic varices requires special imaging studies, such as pelvic venography or ultrasound.