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Doctors Lounge - Gynecology Answers
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Back to Gynecology Answers List
| sofrustrated
- Wed Jun 06, 2007 10:18 am |
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Can anyone tell me what Andomyosis is? I am a 36 yr old woman who has been having irregular periods, I have been on several birth control pills and have been bleeding almost non-stop for a little over a month. I have to go have a pelvic and trans vaginal ultrasound done to see if there is something more going on. One of the things my dr. expressed concern with was Andomyosis. From what I understand it is similar to Endometriosis but it attacks just the uterus? I am terrified as I have no children but plan on starting a family within the next few years, now I fear this will put a stop to that if this is what I have. I have read of stories where the uterus needs to be removed. Is this condition that severe and can it be successfully treated without having to remove the uterus?
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| Dr. Chan Lowe
- Thu Jun 07, 2007 12:38 am |
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 Adenomyosis is a condition that some believe is a variant of endometriosis, although many disagree and feel it is its own disease.
Adenomyosis is a condition where endometrial glands form deeper in the uterine muscle rather than just along the endometrial lining area as they should.
This can cause irregular periods, heavy bleeding, painful menses and pelvic pain similar to endometriosis.
One of the hallmarks of this condition is that it tends to be unresponsive to hormonal regulation (such as using oral contraceptives) as you have discovered.
Hysterectomy has been considered the best treatment, although there are several more conservative options. For those wanting to remain fertile, sometimes GnRH therapy can be helpful. GnRH is a hormone that Is "higher up the chain" in the estrogen pathway. It controls the release of FSH and LH.
Estrogen therapy has been used with some limited success.
Also, there are a few new surgical techniques that may be an option. These are fairly new and I don't know the data on them very well in terms of their successfullness.
Follow up with your obstetrician is important. Be sure to discuss your concerns about fertility so you can decide on the best treatment plan for you.
Best wishes.
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| sofrustrated
- Thu Jun 07, 2007 10:28 am |
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Thank you for your reply Dr. I am just hoping this is not what I have, it would be devastating thinking that my options would consist of a hysterectomy. Next week I will go for the ultrasounds and hopefully that will tell us something else.
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| Debbie Miller, RN
- Sat Jun 09, 2007 9:14 am |
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 Be sure to let us know what you find out and good luck.
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