Effectiveness of medical management in Adenomyosis

adenomyosis, hypertrophy, hyperplasia, medical managementAbstract

Adenomyosis is defined by the abnormal location of endometrial tissue within the myometrium associated with hypertrophy or hyperplasia of the myometrial stroma. It is a chronic estrogen dependent condition. Although pathogenesis and etiology of adenomyosis remain unknown, two main theories have been proposed: invagination of the endometrial basal layer and metaplasia of embryonic stem cells. Prevalence of adenomyosis varies widely from 5 to 70% with recent studies showing about 20% prevalence among which the majority were premenopausal. Materials and Methods: A Comparative Study was conducted from March 2022-August 2022. Women attending Gynec OPD with Abnormal Uterine bleeding due to Adenomyosis confirmed by sonography at Vinayaka Mission’s Kiruparananda Variyar Medical College and Hospital, Salem. Patients coming to Gynecology OPD with complaints of heavy menstrual bleeding, confirmed diagnosis of adenomyosis by ultrasonography, fulfilling the criteria and ready to followup to be enrolled in the study. A detailed history to be obtained with regard to age, parity, age of menarche, time since bleeding starts, duration and frequency of menstrual cycle. Downloads

annuccini S., Luisi S., Tosti C., Sorbi F., Petraglia F. Role of medical therapy in the management of uterine adenomyosis. Fertil. Steril. 2018;109:398–405. Ballinger CB, Browning MC, Smith AH .Hormone profiles and psychological symptoms in perimenopausal women .Maturitas.1987; 9:235-51. Berek and Novak’s Gynecology, 14th edition,London:Williams and Wilkins publication Inc;2006. Canadian health measures survey2009-2011, WHO. Coulter A, McPherson K, VesseyM.Do British women undergo too many or too few hysterectomies? Sos Sci Med 1988; 27:987-94. Fraser IS, Critchley HO, Broder M.Munro MG .The FIGO recommendations on terminologies and definitions for normal and abnormal uterine bleeding. In; Seminar in reproductive medicine; Thieme Medical Publishers: 2011; 29:383-390. Kristhy, M. E., Hutabalian, T. I., Khabibulloh, M. Z., & Andri, A. (2022). The management of infectious waste in households amid the COVID-19 pandemic in Indonesia. International Journal of Health Sciences, 6(2), 806–817. https://doi.org/10.53730/ijhs.v6n2.8321 National health portal, NIHFW.BY MOHFW, govn of india https://www.nhp.gov.in/disease/gynecology- and obstetrics/abnormal-uterine- bleeding. Prentice A. Healthcare implications of dysfunctional uterine bleeding. In: Smith SK,editor. Dysfunctional Uterine Bleeding. London: Bailliere Tindall; 1999.pp.181-8. Singh HO, Singh A, Dhole TN ,Nain S. Effect of ormeloxifene for management of dysfunctional uterine bleeding .Biochem Physiol.2015;4:174. Sood M, Devi A, Daher A, Razali S, Nawawi H, Hashmi S,et al. Poor Correlation of Stress Levels and Menstrual Pattern among Medical Students,J ASIAN Behav Stud 2017;2(5)73-8. Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Health and treatment of diabetes mellitus. International Journal of Health Sciences, 5(1), i-v. https://doi.org/10.53730/ijhs.v5n1.2864 Vivas, F. E. V., Cuello, R. L. C., Macías, D. M., & Rosado, G. P. (2017). Elaboration of essential oil from the oregano for medicinal use sheet. International Journal of Physical Sciences and Engineering, 1(1), 81–87. https://doi.org/10.21744/ijpse.v1i1.22 Published How to Cite Issue Section Copyright (c) 2022 International journal of health sciences This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose. Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal. This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.