Womens Health

What is adenomyosis?

Can you tell me what adenomyosis is?

Adenomyosis is endometriosis of the uterus rather than of the abdominopelvic cavity. In other words, endometrial glands grow down into the muscle of the uterus and become isolated pockets of functioning glands that are separate from the epithelium sloughed each month in your menses. The tissue and blood in these pockets have nowhere to go and thus produce pain from swelling.

Bad ovulatory pain

I suffer very bad ovulatory pain, which doubles me over. I have tried every thing. Provera® worked for awhile and then the pain returned. They had me stop the Provera®.

The only thing that is left is a hysterectomy, but if it would stop the pain, I will get this done. I am 35 and have 4 kids. please help me. I am sick of being in pain all the time. The Provera® I was on was 10 mg, 3 x a day.

If the Provera® worked for awhile, this would indicate possible endometriosis, adenomyosis or possibly ovulatory pain. The injectable Provera®, Depoprovera®, may work better than the oral pills and give you relief.

As far as hysterectomy goes, with chronic pelvic pain, if the pain is reproduceable with palpating the uterus on a pelvic exam, about 2/3's of women get better with a hysterectomy and 1/3 continue to have pain or get worse. I would think you may need a diagnostic laparoscopy first to see what is really going on.

Pain and bleeding with exercise

Today I was at the gym running on the treadmill, and I felt this sharp pain in my lower abdomen as I ran. When I got home and used the restroom, there was some blood in my underwear.

My period didn't start. This isn't the first time I have felt that pain but I thought it was just a side stitch. I am having other problems with my menstrual cycle, like breakthrough bleeding, and some cramping. I have an appointment with my gyn, but I'm really starting to get concerned. Any ideas?

Vaginal bleeding brought on by exercise or trauma is usually related to either disruption of the corpus luteum of the ovary (gland that forms after egg is ovulated each month) or anatomic abnormality inside the uterus such as a polyp or fibroid.

The sudden pain and then the bleeding would go along with a ruptured corpus luteum of the ovary or even midcycle ovulation if it occurred 14 days or less from when the NEXT menses was supposed to occur.

Bleeding from anatomical causes would be more likely at age greater than 35. There are other causes such as local cervical irritation, endometriosis, endocrine bleeding etc., so you are right to get an exam to put the total picture together with the other ovulatory problems you describe.

Table of Contents
1. Pelvic Pain Overview
2. Left sided pelvic pain
3. Upper quadrant pain
4. Abdominal bloating
5. Adenomyosis
6. Ovulatory pain
7. Bicornuate uterus
8. Pain after a c-section
9. Pain and orgasm
10. Causes of painful sex
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