Adenomyosis of the uterus: treatment, preparations - more information

Adenomyosis - the appearance of the endometrium in the uterus, which is accompanied by pathological changes in its structure. Patients complain of unpleasant sensations in the abdomen, irregular menstruation, pathology of reproductive function. The disease is characterized by constant progression, provoking complications. In case of setting the appropriate diagnosis, therapeutic measures are chosen, of which drugs are a part. Choosing drugs is necessary depending on the age of the patient and the features of the development of the disease.

Symptoms of

In women with adenomyosis of the uterus, women often face a number of unpleasant symptoms:

1. Blood discharge between menstruations.
2. Loss of large amounts of blood, pain syndrome with menstruation.
3. Irregular menstruation.
4. In case of aggravation of the disease, bloating develops.
5. Unexpected deterioration of well-being.
6. Increased fatigue, weakness.
7. Paleness of mucous membranes.
8. Frequent infectious diseases.

Causes of

It is possible to assume the development of the disease if there are the following risk factors:

1. Hereditary predisposition.
2. Weight gain.
3. Abortion, other operations on the uterus.
4. Use of hormonal contraceptives.
5. Inflammatory diseases of the genital organs.
6. Disturbances in the immune system.
7. Physical overload.

What does the treatment plan depend on?

Before choosing the best treatment method, it is necessary to pay attention to important factors:

1. Age. It depends on this parameter whether the woman plans to continue to have sex life, give birth to a child. Sometimes patients are offered to remove the affected organ, especially if the menopause has already passed. The surgical method of correction of the disease allows you to get rid of the possible relapses of the pathology, to guarantee a complete cure by 100%.
2. The presence of various pathologies of the psyche, which may affect the course of treatment.
3. Other deviations in the structure of the organ, in addition to adenomyosis of the uterus. There may be scars, an increase in size, adhesions and other disorders that require immediate correction.

Methods of treatment

Measures for getting rid of the disease can be used both independently and from a complex:

Name	Description
Surgical	Resection of organ
Conservative	Provision for steroid preparations
Symptomatic	It is believed that adenomyosis of the uterus is an incurable disease. When performing therapeutic measures, it is possible to reduce the negative manifestations, for example, to remove pain, anemia
Traditional medicine	To achieve a stable remission, completely to stop the symptoms of the disease, you can not use only folk remedies. Usually, these methods are used in conjunction with drug therapy. As a result, the general condition of the patient is improved
Correction of immunity	Both medical products and competent diet selection are used, due to which the body independently fights against tumors, other formations, leading to a decrease in their number and a decrease in the foci of the disease.

These medications are used not onlyin order to protect against unwanted pregnancy, but also as a therapeutic measure. They can be used cautiously, only on the advice of a doctor. Contraceptives contain estradiol, progesterone derivatives, which help maintain the hormonal balance, eliminate common disorders.

Stages of adenomyosis

With regular intake of oral contraceptives, the patient's condition improves due to stabilization of ovarian functions, acceleration of the appearance of new sex cells. The hormonal background, the process of development of the endometrium, is normalized.

Signs indicating improvement in the patient's condition:

1. Reduced pain, especially during menstruation.
2. Elimination of bleeding from the uterus on days when they are pathological.
3. Reducing the likelihood of delayed menstruation, treatment of hormonal failure.

To obtain the desired positive effect, it is necessary to continue treatment for 3 months to 6 months. The most common drugs in medical practice are Jeanine , Jess , Logged , Marvelon .During the course of treatment, do not worry about the lack of menstruation. This is normal, tablets have an effect on the production of estrogens, as a result of which the functioning of the ovaries slows down.

Oral contraceptives for the treatment of adenomyosis of the uterus

Antigonadotropins

Antigonadotropins are prescribed if a decrease in the number of pituitary hormones is required. Hormonal drugs affect the activity of the ovaries, reduce the person's ability to work. Also have an overwhelming effect on the endometrium.

The following preparations are popular:

• Danazol ;
• Danol .

In accordance with the recommendations of the doctor, the drugs should be taken in an amount of 400-800 mg per day. For the entire period of admission, menstrual bleeding is almost not manifested, possibly the onset of amenorrhea( temporary absence of menstruation).Usually drugs have to use courses. Remember that during this time you need to carefully monitor your health.

Antigonadotropins for the treatment of adenomyosis of the uterus

Progestogens

To reduce the amount of estrogen, it is enough to take progesterone regularly. As a result, you can quickly and effectively cope with the symptoms of the disease, the reasons for its appearance. This substance reduces the intensity of growth of the endometrium, reducing the number or completely eliminating the foci of the disease. Among the drugs of this series, the following variants are popular:

• Dufaston ;
• Norkolut .

When exposed to the body, they do not adversely affect the functioning of the ovaries. Components of the composition reduce the amount of menstruation, which reduces the likelihood of excessive increase in the endometrium. The drug has a complex effect, penetrating the structure of tissues.

DUFASTON and NORCOLUT

When receiving it, it is necessary to pay attention to the following factors:

1. Decrease in the volume of precipitates.
2. Normalization of periodicity of monthly, elimination of other characteristic violations.
3. Reduced pain syndrome.

If you use these drugs alone or in combination, menstruation will be lost, which is important for many patients. Preparations are delivered in the configuration of tablets. The drug should be taken from the 5th or 16th to the 25th day of the cycle. To adjust the dose, specify the time of reception, it is advisable to seek advice from a doctor.

Anti-estrogens

These elements consist of synthetic components. With regular admission, it turns out to be not only the standard medicinal effect, but also the production of certain substances produced by the pituitary gland is slowed down. There is a decrease in the number of a number of hormones, which positively affects the prognosis of the disease.

Adenomyosis of the uterus

Popular drugs, often prescribed by doctors:

1. Gestrinone .The composition used the main substance, ranked among the group of steroids. Thanks to this element, the number of sexual and gonadotropic hormones decreases. As a result, the cells of the uterus do not receive proper nutrition, atrophy occurs. During active intake of medications, menstruation does not appear. In addition, there is no other unpleasant symptomatology, such as pain syndrome, bleeding that occurs for unknown reasons. If you use this tool from the first day of the cycle, the next reception comes on the fourth day. A day is enough for one capsule. If a standard treatment regimen is used, the drug is used 2 times per 7 days, and the general course of therapy is six months.
2. Depot-Check .Affects the reproductive system, suppressing the possibility of the appearance, development and decay of the egg. Sex hormones are produced in a way that does not affect the activity of the uterus. The overgrown tissues do not receive adequate nutrition, which is why they gradually become atrophied. As a result, pain is not manifested, monthly stops, and blood is not released from the vagina. The drug is sold in the configuration of the solution for injection. Intramuscular injection is practiced once in 7 days. The course of admission varies from 3 to 6 months.

Depo-Chest Preparation

Do not forget that these medications have a lot of important side effects. They provoke an early onset of menopause, which causes various complications: mental instability, hot flashes, dryness of the mucous membranes.

Analogues of gonadoliberin

Substances provoking an increase in the amount of FSH and LH.Initially, this action has a stimulating effect on the sexual glands, but in the future their functioning gradually decreases, the activity drops to a minimum.

To achieve this effect, use the following medications:

1. Buserelin .Intramuscular injection is practiced on day 5 of the cycle. As a result, the drug is taken almost monthly by 4.2 mg.
2. Goserelin .It is administered not intramuscularly, but subcutaneously every 28 days for 3.6 mg.
3. Dekapeptil depot .Monthly applied to 3.75 mg.

Analogues of gonadoliberin

When using these medications, weakness, worsening of general well-being, other disorders that prevent a person from practicing normal life is possible. Also, tides, increased nervousness, acceleration of the rhythm of heartbeats, hypertrichosis are possible.

Against the background of the use of drugs, the monthly does not appear.

Antiandrogens

To completely get rid of adenomyosis, often use Byzanne .The active substance is dienogest, which has a significant effect on the general condition of the body and the reproductive system. When taking this medicine, the level of progesterone is constantly increasing, due to which the amount of estrogen is systematically reduced. The main areas of the disease spread are gradually docked, their number decreases. To conduct a full course of treatment, it is necessary to take Bezanne for 6 months, 1 tablet a day. Menstruation can pass, but this phenomenon does not always happen.

Preparation Byzanne

When hormone therapy is not needed?

The medical measures are selected specifically for each patient. Initially, a series of tests and diagnostic measures are carried out in order to prescribe the optimal drugs, taking into account the general condition of a person. Even under the condition of detection of adenomyosis of the uterus, hormones are not used in the following circumstances:

1. A woman does not notice changes in the cycle periodicity, the number of excretions, there are no other negative symptoms requiring immediate correction.
2. Unpleasant sensations in the genital area are absent.
3. The course of the disease is almost invisible, while the age of the patient should soon begin to menopause.

In some cases, after a detailed examination, taking appropriate tests appoint hormonal contraceptives. With the right selection of these funds are safe, while allowing you to protect yourself from infection, protect against unplanned pregnancy.

For adenomyosis, the uterus and miscarriage, and medical abortions for patients are contraindicated, which is why it is necessary to closely monitor your general condition.

Foci of adenomyosis

Contraindications to the intake of hormonal drugs:

1. Diabetes mellitus, which a woman has suffered for several years.
2. Insufficiency of vital organs, which led to various pathological processes in their structure.
3. Presence of allergy, congenital tolerability to at least one of the components of the composition of selected drugs.
4. Increased blood clotting, risk of blood clots.
5. Body weight exceeding the norm.

Conservative methods of

To normalize the communication state with uterine adenomyosis, it is not necessary to use preparations containing hormones. Possible use of homeopathic remedies, folk recipes, as well as more sparing medicines.

Conservative medicines can be used alone or in combination with more radical methods:

1. Non-steroidal anti-inflammatory drugs( Ibuprofen , Paracetamol , Nurofen ).With their help, you can remove the pain syndrome that develops with PMS.If you choose the right medicines, you can regularly stop certain foci of pain in the pelvic area.
   

   Preparation Ibuprofen

2. Ointments characterized by a warming action( Acyclovir , Bonafton , Epigen ), remedies for the immune system, and vitamin complexes. These tools help not only to remove negative symptoms, but also improve the overall condition of the patient. Some drugs stimulate the natural activity of the hypothalamus, which increases the amount of hormones useful to the body.
   

   Epigene form

3. Physiotherapy procedures( pulsed low-frequency currents, magnetotherapy, balneotherapy ) can affect both the general condition of the body and the course of a particular disease, when the pathological process is localized in the small pelvis. The purpose of carrying out physiotherapeutic procedures is to reduce the hypertension of the muscles of the lower abdomen, the normalization of blood circulation processes, as well as the removal of inflammation.
4. With the help of individually selected herb complex( angelica, sabelnik, wild yam ) it is possible to strengthen the immune system, affect the normalization of hormone production.

Video - Adenomyosis

Surgical intervention: when is it applied?

The operation is performed only if the use of a complex of different drugs, procedures can not have the proper effect. The following factors influence the decision of specialists about the appointment of the operation:

1. The use of medications does not have a powerful effect, for a long time there has been no improvement.
2. In the course of treatment, anemia develops, characterized by a gradual increase in negative symptoms.
3. The patient has already passed the menopause period. In this case, the surgical operation is appointed in order to completely cure the adenomyosis of the uterus.
4. The presence of other diseases that have a significant effect on the activity of the uterus. Especially dangerous are overgrown nodes, tumors of 3-4 stages.

Description of stages of adenomyosis

Doctors recommend one of the following types of operations:

1. Abdominal .The skin is cut directly above the pathological area, the uterine endometrium grows. As a result of the operation, the function of the genital organs is restored, the symptoms of the disease do not return. After some time, there is a risk of recurrence of the disease.
2. Hysteroscopic .Surgeons use a hysteroscope in combination with a standard set of instruments. The operation is conducted under video surveillance. Correction of the uterus tissue takes place through the vagina, the nodes of a benign character are completely removed.
3. Laparoscopic .Several incisions are made in the abdominal region. A laparoscope is placed in the formed holes. This surgical intervention does not require suturing, is characterized by a minimum number of possible complications.

In general, general anesthesia is used in the surgical procedure. After the operation, a minimal set of drugs that support the functions of the uterus is prescribed.

To cure adenomyosis of the uterus, it is necessary to conduct a survey. So you can choose the optimal hormonal drugs. Many drugs from this group include a number of contraindications. They can not be used during pregnancy and lactation, so radical measures of treatment in some cases have to be postponed. If you use the prescribed therapy correctly, you can quickly get rid of the manifestations of adenomyosis, gradually defeat the disease.

Video - Treating adenomyosis with folk remedies