What is a diffusely heterogeneous structure of the myometrium. Causes of appearance, methods of treatment of diffuse adenomyosis Diffuse changes in the endometrium

Normally, the myometrium is homogeneous, there are no foreign inclusions in it. In this state, it is observed in healthy women. When the structure of the uterus changes, a heterogeneous myometrium appears, one can suspect the development of pathology. It is possible to determine the state of the muscle layer using ultrasound. At the same time, diffuse changes are not an independent disease. This is just a symptom of an ailment that develops in the genitourinary system.

To identify the exact cause of the diffusely heterogeneous structure of the muscle layer, a whole complex is carried out clinical research. Among the factors provoking such changes are the following:

• surgery in which the walls of the uterus were damaged;
• disorders of the endocrine system;
• curettage for diagnostic purposes, excision of polyps, fibroids and cysts in the uterus;
• violations in the activity of the sex glands;
• fluctuations in hormone levels;
• genetic predisposition;
• susceptibility to stress;
• genital infections;
• inflammation of the organs of the reproductive system;
• excessive exposure to ultraviolet rays.

It is impossible to ignore changes in the muscle layer. Often they cause infertility.

Symptoms with diffuse changes

Myometrium of a heterogeneous structure often does not show any symptoms. Such changes can be caused hormonal disbalance, anemia, severe stress and genital infections. In this case, the following clinical manifestations are noted:

• excessively heavy menstruation;
• pronounced;
• discomfort when urinating;
• discomfort during intimacy;
• pain observed during ovulation;
• meager brown discharge in the second half and middle of the cycle;
• impossibility of conception.

Myometrium during pregnancy

Inhomogeneous myometrium is often detected in pregnant women during routine ultrasound and often indicates the presence of pathology. In this case, the doctor constantly monitors the condition of the muscle layer. This is due to the fact that local thickening causes serious problems. Hyperechogenicity (the presence of abnormal seals) can lead to rupture of the uterine mucosa.

In this case, the doctor registers the pregnant woman and systematically examines. Diseases that provoke such changes in the uterine layer can cause serious complications during childbirth. With the growth of fibroids, the course of pregnancy will be difficult.

During labor, insufficient contraction of the organ, as well as the onset of bleeding, is not ruled out. In the absence of therapy, fibrosis often develops and scars form, leading to rupture of the birth canal.

In the first trimester, a change in the structure of the muscular tissues of the uterus can cause its excessive tone. In this case, the risk of spontaneous miscarriage increases significantly. At a later date, childbirth before the due time is not excluded.

The appearance of deviations from the norm

The homogeneous structure of the muscle tissue of the genital organ is an indicator of the norm. Minor changes are allowed in certain phases of the menstrual cycle, but only in the absence of concomitant symptoms, inflammatory and infectious diseases.

There are no clear boundaries between layers. Their thickness increases towards the bottom of the uterus. Due to this, the body can fully contract during labor.

A heterogeneous structure is observed both for physiological and pathological reasons. Natural changes in this case occur at the time of menopause.

The pathological state of the myometrium is detected during an ultrasound examination. This takes into account such indicators as echogenicity, size of the uterus, tone and thickness of the layers. Thanks to the data obtained, it is possible to identify the cause that provoked such structural changes.

Why does the breach occur?

Homogeneous myometrium is normal. A change in the structure of the muscular and mucous layer of the uterus can occur due to the development of various pathologies. Most often, these symptoms are observed with adenomyosis and fibroids.

Adenomyosis

This pathology is characterized by excessive growth of the endometrium and damage to the muscular layer of the uterus. The development of the disease is due to hormonal fluctuations that can be observed in women of all age categories.

Treatment of changes in the myometrium

The treatment regimen for diffuse changes in muscle tissue largely depends on the severity of the disease, the age of the woman and the presence of concomitant pathologies. In this case, both surgical and medical methods can be used.

The main goals of therapy are the following:

• preventing the development of complications;
• suppression of estrogen production in order to prevent further development pathology;
• preservation of reproductive function;
• prevention of cell degeneration into cancer;
• elimination of associated symptoms.

Drugs are used in the treatment process in various forms. These could be funds local action, which are inserted into the vagina, and tablets. Use them begin only as directed by a doctor.

Hormonal therapy of heterogeneous myometrium is carried out in courses. Taking drugs begins after menstruation and continues for three weeks, then take a break for seven days and continue treatment. The following groups of drugs are used:

• estrogen-progestin contraceptives (Diana-35, Non-Ovlon, Demulen, Yarina or Jess). With their help, the process of ovulation and the production of estrogen are suppressed. The drugs are effective on initial stages disease development;
• gestagenic agents (Norkolut, Byzanne or Utrozhestan). Medicines of this group are prescribed for various degrees of tissue damage;
• agonists of gonadotropic releasing hormones (Danogen, Danol or Nemestran).

Hormonal therapy gives a pronounced effect. When combined with surgery, the risk of recurrence is minimized.

Surgical treatment involves the removal of lesions. In this case, methods such as:

• laparoscopy;
• laser vaporization;
• cryodestruction.

After surgery, the body needs time to recover. After a few months, successful fertilization is possible.

Prevention

In order to prevent diffuse changes in the myometrium and the development of pathologies that provoke this process, it is necessary to systematically undergo an examination by a gynecologist and conduct an ultrasound examination every six months. This is especially true for adolescent girls, women who have undergone surgery in the organs of the genitourinary system. In addition, you need to follow the rules of hygiene and wash your intimate areas twice a day.

If suspicious symptoms appear, you should immediately contact a gynecologist. Timely detected diseases are much easier to treat.

The diffusely heterogeneous structure of the muscular layer of the uterus indicates the beginning of a pathological process that must be eliminated as soon as possible. It is possible to identify such changes only during an ultrasound examination. Immediately after this, a course of therapy is prescribed.

Before talking about changes in the structure of the uterine wall and understanding what diffuse changes in the myometrium are, it is necessary to take a closer look at the very concept of "myometrium". What is it?

Myometrium is a muscular layer of the uterus, consisting of 3 layers of smooth muscles. Moreover, all 3 layers have a different structure and are arranged in the following sequence:

1. The outer layer (subserous) - includes longitudinal and circular muscle fibers, and is covered on the outside with a serous membrane.
2. The middle layer (muscle) is considered the most powerful, because it consists exclusively of circular muscle fibers. It is in this layer that the main main vessels are located, which carry out the trophism of the entire uterus.
3. Inner layer (longitudinal) - consists of longitudinal fibers.

Due to these layers, the uterus is able to act as a fetus during pregnancy, and at the end of the gestation period, muscle contraction helps to expel the fetus during childbirth.

If a woman has a diffuse change in the myometrium, then this deviation is called endometriosis, and with ultrasound (ultrasound), the doctor sees a heterogeneous myometrium. Among gynecological diseases, such an ailment occurs quite often and is the cause of infertility, because the altered structure makes it impossible for the implantation of a fertilized egg.

Causes of changes in the myometrium

With diffuse changes in the myometrium, an atypical growth of the uterine mucosa and ingrowth of endometrial cells into the thickness of the muscle layer occur. Scientists cannot identify the exact cause of the development of this pathological process. However, there is a genetic predisposition and a hormonal theory of the onset of the disease, according to which endometriosis develops as a result of a violation of the content of hormones in female body(increased estrogen levels and decreased progesterone).

Initially, this kind of hormonal disorders contribute to the growth of the endometrium, and then can provoke its rejection, accompanied by severe bleeding.

The rejected cells somehow penetrate the basal layer of the endometrium and begin to grow into the myometrium. On ultrasound, up to 4-5 cm is observed, its echostructure is disturbed. In addition, with endometriosis in the muscular layer of the uterus, changes are determined with hyperechoic inclusions diffusely located in the thickness of the organ, the size of which is 1-5 mm.

The heterogeneity of the myometrium develops for several reasons, among which the following can be distinguished:

• abortion or any other intervention in the uterine cavity;
• childbirth, injuring the inner wall of the uterus;
• C-section;
• diagnostic curettage;
• endocrine disorders;
• genetic predisposition to the disease;
• stress as a consequence of neurogenic disorders.

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Signs of diffuse changes in the myometrium depend on the speed and depth of the spread of endometrioid tissue in the muscular layer of the uterus.

Most often in the early stages, symptoms this disease invisible. It is customary to distinguish 3 degrees of endometriosis:

1. In the first degree, there is a slight germination of the inner layers of the myometrium.
2. In the second degree, tissue germination occurs up to the middle of the myometrium.
3. In the third degree, there is a germination of endometrioid tissue through all layers, up to the serous membrane of the uterus.

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Diffuse changes in the myometrium - diagnosis and signs of the disease

According to scientists, in 1/3 of cases of female infertility, patients are diagnosed with endometriosis. A woman is given an ultrasound, where the doctor sees that the myometrium is heterogeneous, which means that it was subject to changes. The causes and symptoms of this kind of changes can be completely different. Some patients note pain during urination or before menstruation, others for discomfort during intercourse, and still others experience bleeding in the intervals between menstruation. Pain occurs against the background of tissue edema and compression of nerve endings in the wall of the uterus. As a rule, painful sensations are aching or paroxysmal in nature, can be given to the perineum, lower back and thigh area.

Over time, a woman may experience acyclic bleeding, leading to the development of iron deficiency anemia, which is accompanied by apathy, lethargy, dizziness, headaches, and drowsiness. This condition cannot be cured until the blood loss is eliminated.

In addition to the usual ultrasound examination of the pelvic organs, specialists can also prescribe an endoscopic examination. If, with these examination methods, it is revealed that it has been changed, then they talk about the presence of endometriosis and the need for a course of drug therapy that allows you to get pregnant and bear a healthy child.

Myometrium is called the muscle fibers of the uterus, responsible for its contractility. To understand the nature of diffuse changes in the myometrial layer, consider the structure of the walls of the uterus and its functioning.

The walls of this organ consist of three layers: the inner (endometrium), the middle (myometrium) and the outer serous membrane.

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The outer layer, also called perimetry, is the covering organ connective tissue, tightly fused with the fibers of the myometrium. The middle layer, consisting of circular muscle fibers, has the greatest thickness and is penetrated by large blood vessels.

As long as the structure of all fibers is homogeneous, the uterus functions normally, but under the influence of a number of factors, the internal mucosa can grow deep into the muscle layer, causing diffuse changes in the myometrium. In this case, the woman is diagnosed with endometriosis, which often causes infertility.

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What caused the disease?

Science has not yet been able to identify the exact cause of endometriosis, but there are several versions explaining its appearance. First, there is a genetic predisposition to the disease. You can talk about it if the pathology occurs in several generations of women in the same family.

In this case, the imbalance of hormones becomes the cause of the violation: the level of progesterone decreases, and estrogen increases.

This condition leads to the growth of the endometrium, and then to its rejection, accompanied by profuse bleeding. Rejected cells penetrate deep into the endometrium, and from there grow into the muscle tissues of the uterus.

In confirmation of the version of the dependence of the structure of the myometrium on the hormonal background, the fact that during pregnancy and during menopause the disease regresses is supported.

Secondly, there is a connection between traumatic effects on the uterus and the occurrence of endometriosis. Risk factors in this case include:

Also, the heterogeneous structure of the myometrium may be a consequence of disruption of the pituitary gland and thyroid gland.

In addition, it is impossible to exclude the influence of stress and infectious diseases of the genital organs on the development of endometriosis.

Symptoms and Diagnosis

Clinical manifestations of endometriosis vary depending on the neglect of the disease. There are three degrees:

The onset of the disease is usually not accompanied by specific symptoms, so women may not be aware of the problem until endometriosis passes into a more complex stage. In some cases, in the absence of provoking circumstances - injuries, abortions and other surgical interventions in the uterine cavity, it may not progress for years.

In the case of activation of the process of germination of the endometrium, the pathology is manifested by severe uterine bleeding and pain. Aching or paroxysmal pain occurs periodically, usually a few days before menstruation, and is given to the perineum, lumbar region or thighs.

This occurs against the background of a lengthening of the cycle and is sometimes combined with the appearance of spotting. spotting during the intermenstrual period.

This course of the disease eventually leads to the development of anemia and, as a result, dizziness, drowsiness, weakness and even fainting. These symptoms persist and do not respond to treatment until their cause is eliminated.

Also, a woman may notice discomfort during intercourse, urination, douching, gynecological examination, indirectly indicating endometriosis. When such signs appear, a thorough examination is required to establish or refute the diagnosis.

During a gynecological examination, the doctor may assume the presence of endometriosis by the increased size of the uterus due to the thickening of the walls, but accurately identify changes in the myometrium, especially on early stages can only be done with an ultrasound.

The study determines the heterogeneity of the structure of the muscular layer of the uterus and provides information on the depth of penetration of endometrial cells into the walls of the organ.

Consequences of the disease

A common consequence of endometriosis is infertility, which develops with this diagnosis in about 50% of cases. It is associated with a violation of ovulation, adhesions and changes in the structure of the endometrium, which prevent the fertilization of the egg and the fixation of the embryo in the uterus.

Even if pregnancy occurs, heterogeneous, due to endometriosis, the structure of the myometrium increases the risk of fetal rejection in the early stages of gestation. With serious damage to the walls of the uterus, due to the loss of proper elasticity, in the second and third trimester of pregnancy there is a risk of premature birth.

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Therefore, pregnant women with a history of endometriosis should visit the doctor regularly.

Important! For those who do not plan to have children, medical supervision and treatment are also necessary. Since with this disease there is a danger of malignant degeneration of foci of endometriosis.

Treatment Methods

When diffuse changes in the muscular layer of the uterus are detected, depending on the severity of the pathology and the symptoms present, a treatment is selected to improve the quality of life of the patient. To eliminate the manifestations of endometriosis (heterogeneous myometrium, cycle disorders, bleeding, etc.), the following treatment methods are used:

Drug therapy is carried out using different groups of hormonal drugs: gestagens, estrogen-gestogens, antigonadotropic drugs and agonists of gonadotropic releasing hormones.

These drugs have a high therapeutic effect in the early stages of the disease, but with advanced forms of endometriosis, they do not always give the desired result.

Important! self-assignment to self medicines with diffuse changes in the endometrium is unacceptable and can lead to aggravation of the disease.

If conservative treatment is ineffective, resort to surgical methods. Previously, women suffering from endometriosis were recommended surgery to remove the uterus and appendages, but now modern technologies make it possible to perform organ-preserving operations.

The method widely used in this pathology is therapeutic and diagnostic laparoscopy, which eliminates foci of endometriosis. Such an intervention is less traumatic and contributes to the restoration of female reproductive functions.

Since there is a risk of recurrence of the disease after an organ-preserving operation, to reduce it, patients may additionally be prescribed hormonal drugs, as well as herbal remedies aimed at normalizing the balance of hormones.

Remember that the sooner the disease is detected, the easier and more successful the treatment will be.

Do not forget to regularly undergo preventive examinations at the gynecologist and be healthy!

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How are diffuse changes in the myometrium manifested? A qualified gynecologist will tell you about this. Before you begin to analyze the diffuse changes in the myometrium, you must first understand what it is - the myometrium, what does it consist of and what is its function?

What is myometrium? Myometrium is the middle layer of the muscles of the uterus, which, in turn, consists of three layers of muscles. Its structure is as follows:

1. The first layer (it is also external) is the subserous layer of muscles, which are located in the longitudinal and in the circular direction. Above this layer is the serous membrane.
2. Under the first layer is the strongest - the middle one. It is represented by circular muscles. This layer contains in its structure the arteries and veins that feed the uterus.
3. The inner layer is represented only by longitudinal muscle fibers.

Thanks to these three layers, the uterus has the ability to contract, expelling blood during menstruation and the fetus during pregnancy. Muscle contraction is influenced by the hormones estrogen, oxytocin and progesterone. Their release is most intense during menstruation and pregnancy. Normally, a woman should not feel the uterus. It is felt only during contractions, birth or pathologies.

Characteristic features

What are diffuse changes in the myometrium? Such changes cannot be considered as any disease or diagnosis. This is just the conclusion of a diagnostician about the state of the structure of the tissues of the uterus. From these observations, the diagnosis of the patient is made. Basically, diffusely heterogeneous myometrium is a benign neoplasm that occurs due to improper functioning of the endometrium.

During ultrasound examination it is often noted that the structure of the myometrium is heterogeneous. All foci of pathology, as a rule, are located at different points of the uterus. Then they begin to study the problem in detail. Endoscopy may be used.

Often, diffuse changes in the myometrium are a symptom of a more serious pathology. And the causes of this symptom can be:

• changes in the hormonal background of a woman;
• autoimmune diseases (thyroiditis);
• operations on the uterus: caesarean section, removal of foreign bodies, etc.;
• miscarriages, abortions;
• blood diseases (anemia);
• infectious diseases;
• adenomyosis, endometriosis;
• stressful situations;
• genetic predisposition.

Risk factors include women over 40 who have had childbirth, as well as surgery on the uterus.
Adenomyosis, endometriosis are one of the most common causes of diffuse changes in the uterus.

Adenomyosis is a pathological process characterized by the germination of the endometrium into the muscular wall of the uterus. It is worth noting that the endometrium grows into the muscle only in places. As a result of this sprouting, the muscles begin to thicken around the problem area. Such a case is designated as a focal form of adenomyosis. If there are no foci, then they speak of a diffuse form.

However, this pathology is quite rare and can be confused with endometriosis. Very often, when a diffusely heterogeneous structure of the myometrium is noted during the diagnosis, 2 diagnoses are made at once: adenomyosis and endometriosis.

The reasons may be: congenital pathology, postpartum problems and inflammation, unsuccessful surgical operations.

Symptoms of adenomyosis may include:

1. Painful menstrual cycles.
2. Discomfort during sex.
3. Bleeding from the genital tract outside the period of menstruation.
4. Pain in the lower abdomen.
5. On ultrasound and during palpation, an increase in the size of the uterus is noted.

What to do if a pathology is detected?

Treatment is with hormonal and nonsteroidal drugs. In difficult cases, an extirpation of the uterus is performed - removal of the organ.
Endometriosis is a pathology similar in principle to adenomyosis. The difference is that the endometrium grows into all layers of the uterus, and not just into the muscles. In addition, benign neoplasms are formed. More than 1/3 of all examined women with diffuse changes in the uterus had endometriosis. Symptoms are also similar to adenomyosis.

There are several forms of pathology:

1. Genital endometriosis - involvement in the pathological process of both external and internal genital organs;
2. Extragenital endometriosis - in addition to the genital organs, other body systems are also affected: the gastrointestinal tract, genitourinary system and even the respiratory system;
3. Mixed form - a combination of the two above forms in the pathological process.

Treatment is carried out conservatively (with the help of drugs) or surgically. Quite often, these paths are combined for the best result. If we talk about drugs, then hormonal drugs are mainly prescribed. However, this can greatly aggravate the condition of the body as a whole, as the hormonal background of a woman changes. Because of this, there may be problems with the menstrual cycle and fertilization.

The surgical method is more radical. In this way, doctors can excise foci of the disease, or (in the worst case) remove the uterus altogether.
Diffuse changes in the myometrium can be triggered by other reasons.

The hormonal background of a woman depends on external factors that affect her body. Stress, illness, bad environment, hard work and family problems often affect women's health in a bad way. Autoimmune diseases such as autoimmune thyroiditis, also greatly affect the hormonal background and health in general. This means that it is worth conducting a complete examination of the patient.

To treat stress and resist external factors, you should resort to the following actions:

1. Normalize sleep. It should last 8 to 9 hours.
2. Eat right and balanced. You need to include breakfast, lunch and dinner in your diet. Do not skip meals, especially breakfast.
3. Give up bad habits (alcohol, smoking, drugs).
4. Make up your daily routine. It is very important that rest and work are harmonized.
5. If you are worried about some psychological problems and you need to speak out, then you can do this by contacting a psychologist.
6. Start playing sports. Physical exercise have a positive effect on health and help to cheer up.

Anemia is characterized by the inability of red blood cells to transport oxygen to the tissues of the body, which can result in organ problems. Diffuse changes are also a consequence of anemia. To understand whether a person has anemia, you need to assess his condition according to some criteria:

1. Does the person have shortness of breath?
2. Assess the color of the skin - with anemia, it becomes pale.
3. Assess the heart rate - there may be an increase in the frequency.
4. Is there any pain in the head.
5. Strange appetite - craving for eating chalk, earth and other inedible things.
6. Hair loss and brittle nails.

Causes of anemia:

• poor diet (you need to add meat, apples, pomegranates), concomitant diseases (Crohn's disease);
• pregnancy;
• loss of a large amount of blood.

To correct the situation, it is worth resorting to rationing the diet (add beef, liver, apples and pomegranates, seafood, etc.), taking iron supplements. If you follow these recommendations, then soon the anemia will pass. But before that, you should consult a doctor.

Diffuse changes in the uterine myometrium are a definite cause for concern about your health, but this is quite curable. Do not be late with the treatment of uterine diseases, as this can irreversibly affect the ability to give birth. If pains begin to disturb and go astray menstrual cycle, you need to go to the gynecologist without any doubts.

Myometrium is the middle muscular layer of the uterus, consisting of three different layers of muscles.

Structure of the uterine myometrium:

• The outer subserous layer is a muscle fiber located longitudinally and circumferentially. Outside, the serous membrane is visible;
• The middle layer of the myometrium - the strongest - is a circular muscle, in the cellular structure of which there are vessels and veins that provide the uterus with useful substances;
• The inner layer includes longitudinal fibers.

Due to the presence of different layers of the myometrium, the uterus acquires the ability to contract, which is necessary for the release of menstrual blood during menstruation.

Thanks to the myometrium, the uterus acts as a repository for the fetus during pregnancy, it grows with the growth of the baby. And when the gestation period is over, it expels the fetus from the mother's body with the help of the same muscles.

The causes of pronounced or moderate diffuse changes in the myometrium are varied and can be traumatic (abortion) and less traumatic (natural childbirth).

Most of the causes of diffuse changes are:

• endometriosis;
• Adenomyosis;
• stress;
• Anemia;
• Bad heredity;
• C-section;
• Abortions and various mechanical cleanings of the uterus;
• Infectious diseases;
• Penetration of infection into the uterine cavity during menstrual bleeding;
• Hormonal disruptions in the body.

Signs of diffuse changes in the myometrium:

• Heavy and excessively painful monthly bleeding;
• Pain during sex;
• Pain when urinating;
• Drawing pains in the lower abdomen on the 12th-16th day of the cycle (during ovulation);
• Isolation of blood in the middle of the cycle;
• Inability to conceive a child.

Diagnosis of diffuse changes in the myometrium is performed using:

• Endoscopic study.

The presence of echo signs during diagnostic measures is the most important sign of myometrial heterogeneity.

Sonographic signs are detected during ultrasound, if the echo reveals any anomalies or focal abnormalities, the diagnosis of endometriosis or adenomyosis is suspected.

Adenomyosis

With adenomyosis, the inner layer of the uterus (endometrium) grows into the muscle tissue - the myometrium and only into it, unlike endometriosis.

The case count is low because it is often difficult to distinguish from endometriosis. It is not uncommon for women to be diagnosed with both diseases.

Sometimes adenomyosis is completely asymptomatic, but there are the following signs:

• Painful periods (pain lasts all days) with the release of blood clots;
• Unpleasant sensations during intercourse;
• Spontaneous bleeding from the genital tract;
• Noticeable enlargement of the uterus;
• Pain in the lower abdomen on palpation.

There are 4 stages of adenomyosis:

1. The uterine mucosa is affected;
2. The endometrium is included in the affected areas;
3. The tumor grows to the serous uterine layer;
4. Damage to the organs of the peritoneum.

Doctors consider the causes of adenomyosis to be:

• Entry of endometrial cells into the muscular layer of the uterus (during surgical intervention);
• congenital pathology;
• Inflammation of the uterus after childbirth.

Diagnosis is carried out using ultrasound of the pelvic organs, during which the echo will determine diffuse changes.

Most often, patients are women "over 40" or during menopause.

Treatment for adenomyosis:

• Medical:

Non-steroidal anti-inflammatory drugs (Ibuprofen);

Hormonal drugs (oral contraceptives);

• Surgery consists of removing the uterus (hysterectomy);
• Taking warm baths.

endometriosis

Endometriosis is the ingrowth of the mucous membrane of the inner layer of the uterus into the muscular layer with the appearance of benign neoplasms.

Ultrasound diagnoses endometriosis in a third of women with diffuse changes in the myometrium.

Symptoms of endometriosis are in many ways similar to those of adenomyosis:

• Pain during trips to the ladies' room and sex;
• Painful periods, irregular bleeding.

There are several forms of the disease:

1. Genital endometriosis, in which the ovaries and uterine cavity, fallopian tubes, vulva and even the external genital organs of a woman are affected;
2. Extragenital - when the number of affected organs, in addition to the genital ones, includes the lungs, intestines and other closely spaced components of the human body;
3. Combined endometriosis is a mixture of the two forms described above.

Treatment for endometriosis consists of the following:

• Treatment hormonal drugs, which implements the mandatory blood donation for hormones;
• Cauterization of foci of the disease to prevent its further spread.

Diffuse changes in the myometric layer of the uterus may well occur against the background of constant stressful situations.

Signs of stress:

• Headaches that appear with an enviable frequency;
• General impotence;
• Nausea;
• Vomit;
• diarrhea;
• Chronic constipation;
• sleep disorders;
• Lack of sexual desire;
• Tachycardia;
• sweating;
• Trembling of hands;
• Lump in the throat;
• Nervous excitability;
• Low self-esteem of the patient.

If, against the background of stress, a woman has infertility, pain during menstruation, then you need to contact a qualified specialist.

Treatment of stress or how to get rid of depression:

1. Eat a balanced diet, avoid diets;
2. Sleep 8-9 hours a day;
3. Do not be nervous over trifles;
4. Talk about how you feel;
5. Do not drink alcohol or use drugs;
6. Leave time for yourself;
7. Communicate with family and best friends;
8. Exercise regularly (there is a release of endorphin - the hormone of happiness).

Anemia

If the red blood cells do not provide enough oxygen to the tissues of the body, anemia develops. It can also cause diffuse changes in the myometrium.

Anemia is caused by a lack of hemoglobin or red blood cells.

Signs of anemia are:

Doctors believe the causes of anemia are:

• Poor nutrition (you need to eat meat, liver, pomegranates and apples);
• Pathology of the absorption of iron by the body (for example, with celiac disease or Crohn's disease);
• Sharp growth spurts in babies (especially under the age of 3 years). With growth retardation, anemia resolves on its own;
• Pregnancy;
• Great loss of blood (during menstruation or injury).

Treatment for anemia is as follows:

Include the following foods in your daily menu:

• Beef;
• Liver;
• Dried fruits;
• Nuts;
• legumes;
• Seafood;
• Greenery;
• Kashi;

Taking iron supplements for several weeks. Such tablets are drunk during a meal, washed down with water. After discontinuation of the drug, if the diet has not been adjusted, anemia will quickly return again. Frequent side effect- diarrhea, this should be reported to the attending physician to change the drug.

Diffuse changes in the myometrium and related diseases should be treated in the initial stages: this will help to avoid "female" problems and problems with pregnancy in the future.