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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]
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]
Later, testing revealed Bosi also had adenomyosis, a condition where the tissue lining the uterus grows into the muscle wall of the uterus, causing pain and heavy bleeding. Hysterectomy is a ...
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Uterine artery embolization may also be appropriate for the treatment of adenomyosis, which is when the lining of the uterus aberrantly grows into the muscle of the uterus. [10] Symptoms of adenomyosis include heavy or prolonged menstrual bleeding and painful menstrual periods. [11]
An atonic uterus can feel soft, "boggy" and/or enlarged. [2] Bleeding from the cervical os is also common. If the atony is localized to one area of the uterus, the upper, fundal region may still be squeezing while the lower uterine segment is non-functional. This can be difficult to see with a cursory abdominal examination and easily overlooked.
Historically, a hysterectomy (removal of the uterus) was thought to be a cure for endometriosis in individuals who do not wish to conceive. Removal of the uterus may be beneficial as part of the treatment if the uterus itself is affected by adenomyosis. However, this should only be done in combination with the removal of the endometriosis by ...