Adenomyosis--an ignored uterine disease

Pavlik RM, R M Pavlik, RUTH MORGAN PAVLIK
The Nurse practitioner · 1995 · vol. 20(4) , pp. 32???43 · doi:10.1097/00006205-199504000-00005 · PMID:7596529 · W2041411893
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This article reviews the incidence, etiology, symptomatology, and treatment modalities for adenomyosis to address its frequent oversight as a cause of abnormal uterine bleeding and secondary dysmenorrhea in primary care.

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This article reviews adenomyosis as a frequently overlooked benign uterine condition characterized by the embedding of endometrial glands into the myometrium. It outlines the incidence, etiology, and symptomatology of the disease, noting that it typically affects multiparous, middle-aged women who present with heavy, painful, cyclical bleeding and secondary dysmenorrhea. The text further discusses various treatment modalities available for managing these symptoms and provides implications for healthcare providers involved in primary care. This paper is centrally about adenomyosis, focusing on its clinical presentation, diagnosis challenges, and management strategies for practitioners.

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Abstract

Health care providers who supply primary care to women will at some time encounter a patient presenting with symptoms of abnormal uterine bleeding and secondary dysmenorrhea. Adenomyosis, an elusive uterine disease, is a frequently ignored causative factor of these symptoms. Adenomyosis is considered a benign uterine condition in which the endometrial glands embed into the myometrium of the uterus. It is usually found in multiparous, middle-aged women who present with heavy, painful, cyclical bleeding associated with menstruation. This article addresses the incidence, etiology, symptomatology, and treatment modalities for adenomyosis. Implications for health care providers are discussed.
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FEATURES: PDF Only Adenomyosis—An Ignored Uterine Disease - RUTH MORGAN PAVLIK The Nurse Practitioner 20(4):p 32-43, April 1995. Health care providers who supply primary care to women will at some time encounter a patient presenting with symptoms of abnormal uterine bleeding and secondary dysmenorrhea. Adenomyosis, an elusive uterine disease, is a frequently ignored causative factor of these symptoms. Adenomyosis is considered a benign uterine condition in which the endometrial glands embed into the myometrium of the uterus. It is usually found in multiparous, middle-aged women who present with heavy, painful, cyclical bleeding associated with menstruation. This article addresses the incidence, etiology, symptomatology, and treatment modalities for adenomyosis. Implications for health care providers are discussed. Copyright © Williams & Wilkins 1995. All Rights Reserved.

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Condition tags

dysmenorrheaendometriosisadenomyosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Adult Adult Diagnosis, Differential Diagnosis, Differential Dysmenorrhea Dysmenorrhea Dysmenorrhea Female Female Humans Humans Incidence Incidence Menorrhagia

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