Why Does Adenomyosis Pain Persist Even After Menstruation.pptx

Patients with adenomyosis can have pain even after menstruation. Generally, they can choose herbal medicine Fuyan Pill to solve this problem.

1. Why Does Adenomyosis Pain Persist Even After Menstruation ? Wuhan Dr.Lee’s TCM Clinic

2. Adenomyosis is a gynecological condition where endometrial tissue, which normally lines the uterus, invades the uterine muscle layer, causing various symptoms, including persistent pain. While many women experience pain primarily during menstruation, some continue to suffer from abdominal discomfort even after their period ends. Understanding why this postmenstrual pain occurs is crucial for managing the condition effectively.

3. Adenomyosis-Related Symptoms Inflammatory Response Complications from Other Gynecological Conditions Residual Edema from Lesions Elevated Estrogen Levels Causes of Postmenstrual Pain in Adenomyosis

4. 1. Adenomyosis-Related Symptoms Typically, the pain associated with adenomyosis subsides as menstruation ends. However, for some patients, pain persists regardless of the menstrual cycle, manifesting as chronic pelvic pain. This type of pain can continue beyond menstruation, causing ongoing discomfort.

5. 2. Inflammatory Response Adenomyosis involves the presence of ectopic endometrial tissue, which can trigger a chronic inflammatory response in the affected area. This inflammation is not confined to the menstrual period; it can persist afterward, leading to continuous abdominal pain and discomfort.

6. 3. Complications from Other Gynecological Conditions Adenomyosis often coexists with other gynecological issues, such as uterine fibroids, endometriosis, and pelvic inflammatory disease (PID). These conditions can contribute to postmenstrual pain. For instance, poor menstrual hygiene or untreated infections during menstruation can lead to PID, where bacteria invade the ectopic endometrial tissue, causing inflammation. This, in turn, can result in pain that lingers after menstruation, accompanied by symptoms like lower abdominal pain and lumbosacral soreness.

7. 4. Residual Edema from Lesions During menstruation, endometriotic lesions can become edematous and congested. This edema may not resolve immediately after menstruation, continuing to stimulate surrounding tissues and nerves, thus causing ongoing postmenstrual pain. The persistent edema increases local pressure, which can lead to chronic pain symptoms that extend beyond the menstrual period.

8. 5. Elevated Estrogen Levels Tissues affected by adenomyosis are particularly sensitive to estrogen. High levels of estrogen can cause the pathological tissues to swell and proliferate. Even after menstruation ends, if estrogen levels remain elevated, the affected tissues may continue to experience edema and pain. Additionally, high estrogen levels can prolong inflammation, leading to persistent pain after menstruation.

9. Managing Persistent Pain After Menstruation For women experiencing ongoing pain from adenomyosis after their period, a comprehensive treatment approach is essential to alleviate discomfort and improve their quality of life.

10. Medication Non-steroidal anti-inflammatory drugs (NSAIDs) and analgesics are commonly used to manage pain. In cases where inflammation is present, antibiotics or herbal medicines like Fuyan Pill may be prescribed. If hormonal imbalances, particularly elevated estrogen levels, are contributing to the pain, hormone therapy might be recommended to restore balance.

11. Physical Therapy Physical therapy can be an effective way to relieve adenomyosis-related pain. Techniques such as heat therapy, massage, and acupuncture can help improve local blood circulation, reduce muscle spasms, and alleviate pain. These therapies offer a non-invasive option for managing symptoms.

12. Surgical Treatment For patients with severe symptoms that do not respond to medication or physical therapy, surgery may be necessary. Surgical options include hysterectomy (removal of the uterus) or excision of the lesions. These procedures are generally considered when other treatments have failed to provide relief.

13. Lifestyle Adjustments Making certain lifestyle changes can also help manage pain. Ensuring adequate rest, avoiding excessive physical activity, and maintaining a healthy diet are important steps. Patients should avoid spicy foods, excessive caffeine, and other stimulants. Additionally, maintaining a positive outlook and reducing stress can play a significant role in pain management, as emotional well-being is closely linked to physical health.

14. If you have questions about your condition and treatment, contact our experts. Most questions are answered in 24 hours. [email protected] [email protected] [email protected]