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Adenomyosis is a medical condition characterized by the growth of cells that proliferate on the inside of the uterus (endometrium) atypically located among the cells of the uterine wall , [2] as a result, thickening of the uterus occurs. As well as being misplaced in patients with this condition, endometrial tissue is completely functional.
A boggy uterus is a finding upon physical examination where the uterus is more flaccid than would be expected. It can be associated with uterine atony. [1] It may also be associated with adenomyosis. [2]
Diffuse uterine atony is typically diagnosed by patient observation rather than blood loss. The uterus can be directly palpated or observed indirectly using a bimanual examination post-delivery. An atonic uterus can feel soft, "boggy" and/or enlarged. [2] Bleeding from the cervical os is also common.
Once a diagnosis of dysmenorrhea is made, further workup is required to search for any secondary underlying cause of it, in order to be able to treat it specifically and to avoid the aggravation of a perhaps serious underlying cause. Further work-up includes a specific medical history of symptoms and menstrual cycles and a pelvic examination. [6]
One study has a few theories about the cause of a niche. [5] One of the reasons can be the presence of adenomyosis which might cause improper healing. [5] Adenomyosis is a disorder where the endometrium, the inside lining of the uterus, grows between the muscle cells of the wall of the uterus. [6]
Uterine adenomyoma, the localized form of uterine adenomyosis, is a tumor composed of endometrial gland tissue and smooth muscle in the myometrium. [2] Adenomyomas containing endometrial glands are also found outside of the uterus, most commonly on the uterine adnexa but can also develop at distant sites outside of the pelvis. [3]
The uterine height is greater than the normal for the particular day of puerperium. Normal puerperal uterus may be displaced by a full bladder or a loaded rectum. It feels boggy and softer upon palpation. The presence of features responsible for subinvolution may be evident.
They often cause bulk-related symptoms, which can be characterized by back pain, heaviness in the pelvic area, abdominal bloating. [5] Uterine artery embolization may be done to treat bothersome bulk-related symptoms as well as abnormal or heavy uterine bleeding due to uterine fibroids. Fibroid size, number, and location are three potential ...