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Re: adenomyosis

From: D. Ashley Hill, M.D. (anonymous@obgyn.net)
Wed, 5 Nov 1997 19:07:44 -0600 (CST)


At Wed, 5 Nov 1997, Amy wrote: >
>I have been diagnosed with adenomyosis

Amy-

Adenomyosis is a very common gynecologic condition where the tissue from the uterine cavity, called the endometrium, grows into the surrounding muscular layer. Most cases are without symptoms, but in some cases adenomyosis can cause a larger than normal uterus with pressure, cramping, heavy vaginal bleeding, and even pain.

While hysterectomy is often necessary when symptoms appear, this surgery is by no means mandatory, and, in fact, many women receive excellent results from non-surgical therapy. Some methods that may be effective include higher than average doses of ibuprofen (i.e. 600-800 mg at a time), oral contraceptives, and, particularly, a class of powerful medications called GnRH agonists (i.e. lupron, zoladex, synarel). These medications trick your body in to shutting down hormone production, which puts you into a pseudo-menopause while you take the medication. This often shrinks the adenomyosis, but in many cases it simply recurs some time after therapy is discontinued.

Many, if not most, women with adenomyosis can conceive and bear children without difficulty. In fact,it would not even count as a "high risk" pregnancy.

Good luck with your treatment and your future pregnancy plans.

--
Ashley Hill
D. Ashley Hill, M.D.
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
Orlando, FL
I apologize, but I am unable to answer personal e-mail
due to time constraints.



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