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Adenomyosis (Diagnosis (History (POH
Gravidy/parity, deliveries,…
Adenomyosis
Diagnosis
Examination
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Abdo
Enlarged, tender uterus
Investigations
Bloods
FBC (anaemia), haematinics (anaemia)
U+Es, LFTs, clotting
TFTs, sex hormones
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History
POH
Gravidy/parity, deliveries, complications
PMH/PSH
Endocrine disorders, abdo surgery
PGH
Known issues, normal menses, contraception,
STIs, smears
DH
Anticoagulants, allergies
PC/HPC
Worsening dysmenorrhoea and menorrhagia with similar presentation to endometriosis, no red flags,
no bladder/bowel problems
FH
Gynae disorders, cancers
SH
Occupation, smoking, alcohol, ADLs
Management
Medical
Hormonal
Indication: not trying to concieve
E.g. levornogestrel IUS, COCP, POP, etc.
Non-hormonal
Indication: trying to concieve
E.g. tranexemic acid, mefamenic acid
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Surgical
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Uterine artery ablation
Indication: 1L medical tx not worked
MOA: embolise artery, cutting off supply
to tissue with ectopic endometrium
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Pathophysiology
Parity stretches the uterine muscle,
allowing leak of endometrial tissue inside
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