Adenomyosis

Adenomyosis is similar to fibroid in its presentation except that adenomyosis does not have
well defined margins for separating it from the normal uterine tissue.Generalised
adenomyosis is the cause of extreme pain during menstrual cycle with menstrual
irregularity.Ultrasound presentation of adenomyosis is cystic endometrial hyperplasia seen in
the lining of the uterus.
Management
Medical management comprises of use of mefenamic acid preparation ,tranexamic acid
,progestins oral,injectable or as intrauterine device.
Surgery for Cystic endometrial hyperplasia
Hysteroscopic resection of endometrium also known as TCRE trans cervical resection of
endometrium is performed through normal birth passage /vagina using resectoscope assembly
with thermal energy to ablate the endometriotic tissue .There is very minimal blood loss and
post procedure some amount of erratic blood loss is expected for few days.It is a daycare
procedure and requires anaesthesia.
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