What is Adenomyosis?
The uterine muscle and uterine endometrium, the core of uterine implantation and pregnancy,
More difficult treatment due to the form of lesions entangled with normal tissue, adenomyosis-
The endometrial layer, which provides the best conditions for life to take root,
Adenomyosis is a disease in which the tissue of the endometrium that symbolizes life penetrates into the uterine muscle layer.
Adenomyosis leads to abnormal proliferation and transformation of the endometrium, causing pain to the woman and an unfavorable uterine environment difficult to conceive and conceive.
● Composition of the uterus.
The uterus is composed of the serous, middle, and inner layers, and the muscle layer is divided into the junction layer and the outer muscle layer. It is the junction layer that plays an important role in maintaining the function of the uterus through the peristalsis of the uterus.
Characteristic of Adenomyosis
It is important to remove only Adenomyosis without damage to the endometrial and junctional layers!
The endometrial tissue that penetrates into the uterine muscle layer promotes the growth of the surrounding muscular layer, increasing the size of the uterus. There are cases where a local hump like a uterine fibroid is made and spread evenly.
Adenomyosis may cause bleeding, pain and pressure, and it is recommended that you receive treatment because it causes pregnancy complications such as early abortion, prematurity, and placental adhesion.
If the adenomyosis junction layer is invaded, the uterine peristalsis may develop and cause the implantation disorder. Therefore, it is advisable to preserve the junction layer as much as possible during treatment if the woman is planning to have a baby.
Causes of Adenomyosis
The cause of uterine adenomyosis has not been elucidated yet. However, the first is that the endometrial tissue penetrates into the uterine muscle layer, the second is that the tissue of the uterine muscle layer changes similar to the endometrial tissue of the uterus, There are two strong hypotheses.
Recently, adenomyosis is thought to have been infiltrated into the endometrial tissue after the structure and function of the sub mucosal muscle layer has changed.
Symptoms of adenomyosis
Pain, bleeding, pressure, and discomfort
The most common symptoms that appear when adenomyosis occurs are pain, bleeding, and pressure.
As the endothelial tissue expands between the muscular layers, it causes hemorrhage, which causes menstrual overeating, hemorrhage, and anemia, resulting in menstrual cramps and pelvic pain.
An abnormally enlarged uterus may cause pelvic pressure, urinary bladder pressure and urinary frequency symptoms.
Adenomyosis can be a cause of mental disorder other than symptoms such as pain and bleeding.
The endometrium allows the sperm and egg to meet and allow the fertilized cells to stably implant and grow.
In other words, it is the endometrium that plays the role of soil to plant seeds, which may cause abnormalities in the endometrium, making it difficult for pregnant to become pregnant because a stable uterine environment is not created.
More severe pain and bleeding after ovulation
Even if endometrial tissue is present between the uterine muscle tissues, it becomes an ovulation period and maintains the property of thickening the inner membrane layer for stable implantation.
As the size of the endometrial tissue grows larger as the ovulation period, the pressure and pushing of the surrounding tissues become more intense, and the pain and bleeding become worse.
The problem of adenomyosis
Adenomyosis, which is very difficult to remove only lesion tissue, needs prevention of damage of uterine junction layer
Adenomyosis is a benign disease that is not a life-threatening disease, but it is a disease that lowers the quality of life by causing pain or excessive bleeding. If you are suspected of having adenomyosis, treatment may be necessary.
However, in the case of uterine leiomyoma, the tumor is surrounded by a film that is clearly separated from other uterine tissues, so it is somewhat easier to remove the lesion. However, because the uterine adenomyosis is not separated and the boundary is unclear, or even if a localized lesion occurs in a part of the uterine myoma, it is very difficult to selectively remove the endometrial tissue that causes uterine muscle tissue and Adenomyosis.
Haifurane? High-Intensity Focused Ultrasound (HIFU)
A safe method for treating uterine adenomyosis,
Hyper fusion is a treatment that selectively kills the adenomyosis tissue by collecting the thermal energy of the ultrasonic waves at the bottom. The uterus specialized JC200D equipment is a uterine-specific high-fu equipment designed by devising the energy wavelength and treatment posture that is most suitable for the uterus. It does not damage the normal tissue of the uterus while treating the uterus. The most common side effects are stomach cramps and disappear within a few days.
Other abnormal bleeding, mild fever, headache, edema, hematuria and back pain may occur but usually disappear within 1-14 days.
Very rarely, there may be thermal damage to the subcutaneous tissue, damage to the surrounding uterine tissue, or tumor dissolution syndrome.
Why is adenomyosis a hi-fu?
Compare the various methods of treatment for adenomyosis that have been performed in the past with the high-tech treatments and their special features.
Non-Surgical Treatment
Surgical Treatment
Medication
: Treatment with hormone-modulating drugs
Advantages: It is a treatment method that reduces the activity of endometrial tissue by regulating hormones. It helps to relieve pain and bleeding which are typical symptoms of adenomyosis while preserving the uterus. It is also a treatment that plays a role in reducing lesion size in adenomyosis.
Disadvantages: As a treatment method to stop menstruation through hormonal control, it shows symptoms like menopause. When used for a long time, it can cause menopausal female diseases such as osteoporosis and can not be used for more than 6 months.
You can not get pregnant when you are on medication. If the treatment is stopped, the size of the adenomyosis lesion will return to its original size.
Hysterectomy
: A treatment method that removes the lesion from the uterus through surgery
Advantages: It is a surgical procedure that completely removes the lesion by removing the uterus. Because the organs that cause adenomyosis are resected, definite treatment is possible without the risk of recurrence.
Disadvantages: Adenomyosis, a benign disease, remains controversial as to whether it should be treated until the uterus is removed. The biggest disadvantage is that a woman who is planning to become pregnant can not consider hysterectomy.
Mirenna
: Therapeutic method of inserting a loop releasing progesterone in the uterus
Advantages: Mirenas are often used as a contraceptive and are a treatment device that is inserted directly into the uterus.
Progesterone that slows the activation of endometrial tissues is gradually released, which helps reduce menstrual cramps and menstrual irregularities. It can be easily inserted and removed once a visit is made to a hospital.
Disadvantages: Because it is inserted directly into the uterus, side effects such as headache, tenderness of the breast and acne can occur and it is not suitable for women planning pregnancy because they can not get pregnant during the procedure.
Adenomyosis
: Treatment modality through localized adenomyosis surgery
Advantages: This is how a treatment method that can consider the case of women of childbearing age who wish to conceive, as a local damage to the uterus adenomyosis when this occurs at least through the adenomyosis and pull off the surgery.
Disadvantages: Unlike localized adenomyosis, the border between the normal uterine muscle and the lesion is unclear. Therefore, it is difficult to perform selective resection of adenomyoma while performing resection.
Endometrial electric caloric Manners
: Therapeutic method of burning endometrial tissue with a small calf
Advantages: It is a treatment method to prevent bleeding by burning the endometrium with a small fever. It selectively removes the endometrium, thus preserving the uterus without major damage to the normal uterine tissue.
Disadvantages: It is the uncommon treatment method because it burns only the outermost endometrium that can reach the fever zone, and the endometrium that exists between the muscular layers is still there and can not cure the lump sensation felt by the menstrual cramps and uterus.
Best Obstetrics and Gynecology Adenomyosis High Fu Program
One-to-one customized treatment design that can treat up to ten
Adenomyosis is a disease in which the transformed endometrial tissue affects the normal surrounding tissues of the uterus.
It has a very large effect on the uterus. After the uterus, the uterus needs a recovery period to function normally. Adult adenomyosis high fu program of the gynecology department offers a customized care program depending on the individual's uterine health and whether pregnancy plans are available after treatment.
We will try to improve pregnancy success rate through delicate care as well as treatment of uterus which has been fatigued for a long time with adenomyosis.
Fertility female high foo program
- Women preparing for pregnancy> Haifu lady surgery + Endometriosis treatment + Inflammatory disease treatment + Natural pregnancy plan + 3 year management care system - Novice lady> Haifu lady surgery + Cervical treatment + Implantation treatment + Ovulation disorder treatment + 3 years management Care System
