WOMENS-HEALTH Messages for January, 1999: Re: Adenomyosis

Re: Adenomyosis

From: anonymous@obgyn.net
Thu, 28 Jan 1999 21:50:15 EST

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Susan: We are into semantics. >>> You write:

I am still confused about this condition. I wrote about my bad back and leg pain a few days ago. I have pelvic pressure, constipation and 2 Drs. recommended Hyst.I thought Adenomyosis could only be diagnosed through the biopsy of the uterus after Hyst.Please help me understand this as I am counting on this to be my problem after my uterus is biopsied.That way I want feel I had surgery for no reason since Drs. only found 2 small fibroids through ultrasound. ================= When I approach this problem I am reminded of the saying, "If it walks like a duck. If it quacks like a duck. It is probably a duck."

To make the DIAGNOSIS ABSOLUTELY the pathologist has to examine the uterus in the laboratory. If the patient has pain in the pelvis which gets worse with menses; has a falling out feeling; has low backache; has an enlarged 'boggy' uterus on pelvic exam'; has bleeding that is not normal; and -- has an ultrasound picture that suggests Adenomyosis,; by looking at the uterus an experienced doctor can be fairly sure of the diagnosis. All or most of these signs and symptoms add up and it, in all likelihood, is Adenomyosis.

Until I see the endometrial cells within the wall of the uterus I cannot be sure of the diagnosis. This is the way this business works.

The treatment for Adenomyosis is hysterectomy (removal of the uterus).

============================================= *Note: Opinions expressed here are for educational purposes only. This information is not intended to supplant the need for you to consult your physician prior to choosing or planning therapeutic options and/or interventions.

**Private emails cannot be answered.

**Agape, DR. L. [a.k.a. DR. George]

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