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Re: adenomyosisFrom: anonymous (anonymous@obgyn.net)Thu Mar 17 17:31:59 2005
Unfortunately, the only way to 100% diagnose and 100% way to treat adenomyosis is with hysterectomy. Adenomyosis is a thickening of the underlying uterine tissue (endometrium) and is not related to endometriosis (normal endometrial cells found in abnormal locations) or the normal endometrial lining that is shed with a menstrual period each month. Ibuprofen, rest and heat is usually adequate for pain relief with light activity. One of the most important things you can do to help your wife if you want her to continue bearing children for the two of you is to make sure that she never, not ever has to lift anything heavier than 10 lbs. That she never, not ever has to stand for long periods. That she never, not ever is made to feel inferior because she can't do the things she used to or keep up like she used to. Daily exercise is important to help keep the lower back and lower abdominal muscles strong - walking is good, moderate sit-ups are good. A diet rich in whole grains, lean meats and vegetables will help keep pressure off the bowels and lots of water will help keep her urinary tract less irritated from the weight of the uterus. A high-fibre, whole-grain diet will also help avoid prolapse from the weight and pressure of the uterus upon the bowel and bladder. She should expect that her belly will eventually appear to be the size of about a 4 month pregnancy and no amount of sit-ups or dieting will change that, it's because the uterus really is that size. You should also both realize that adenomyosis is caused by trauma to the uterus (term pregnancy and childbirth) and that repeated childbirth will make it worse. You should also both realize that it could cause complications in future pregnancies. Extremely heavy periods with severe cramping during and between are to be expected as well as eventually daily spotting to light flow. Treating adenomyosis is a quality-of-life issue. Your wife will become less capable of keeping up with physical activity of any sort, she will be less capable of enjoying being a young mom of young children with a young husband and will begin to feel very frustrated and depressed. You will then begin to feel put upon, angry, frustrated and depressed and your child/ren will be confused. Now, I know some of this sounds really harsh and you might be inclined to think it won't be that bad and maybe it won't, for awhile, but eventually it will - I've been there and I lost all the growing-up years of fun and adventure with my kids. I felt cheated and resentful and that's not a good feeling at all. I ask you to carefully consider what you have now and what you want and weigh all of the benefits and risks. Is it selfish of you to think your wife can tough it out for another couple of years so you can have another child? Yes. Is she really willing and able to tough it out? Maybe but make sure you're not making her feel obligated. In my very humble opinion and given the facts of your wife's history as you've outlined it, I'd advise you to feel lucky to have the child/ren you currently have and call it a day. Concentrate on getting your wife well so the two of you can enjoy being husband & wife and parenting your child/ren together. Best of luck to you both.
At Thu, 17 Mar 2005, Frustr wrote:
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