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for OBGYN. How to diagnose adenomyosis?

From: anonymous@obgyn.net
Tue, 23 Jan 2001 16:50:32 -0600 (CST)


This is for any doctor who can help me.

I was "diagnosed" with adenomyosis as well as swollen blood vessels in pelvis and adhesions in september 2000 after having a laparoscopy. I was under the impression from my doctor and others that a "diagnoses" could be made with a laporoscopy. However, after reading here on the forum:

"Adenomyosis is a pathologic/microscopic diagnosis made on the surgical specimen FOLLOWING hysterectomy"

I am very confused.I was told that having a hystterectomy would "cure" the pain that I am in. But, if my doctor can not know for sure that what I am experiancing is due to Adenomyosis until after hyst. how then can he/she say a hyst. should be considered?

SOME BACKGROUND I started my menses at age 11 and have had pain and heavy bleeding ever since. I was put on the pill at age 13 because of the irregularity of my periods and the severe cramping (hardly helped). I have tried to just "live with it" because I thought it was "normal". Not until about four years ago did I hear of Endometriosis and scheduled a lap. before I was to be put under they did a pregnancy test and I was pregnant so we postponed the surgery. I have two children and lost a child at 22weeks. My youngest is 2+ and was delivered by C-Section. I have read that all these factors can contribute to Adenomyosis.

If anyone can clear this up I would be so grateful. I am only 32 years old and do not want to undergo a hyst. if it is not necessary. Also could somone give the pronunciation of Adenomyosis I feel so silly not knowing how to say it.

Thank you in advance and I am sorry this is so long.




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