Prof Saim Yılmaz, MD
"Adenomiyosis is a common disease which is seen in 1/4 of women"
What is adenomyosis?
Adenomyosis is the condition where the tissue called "endometrium", which forms the inner surface of the uterus and causes menstrual bleeding, grows into the muscle layer of the uterus. This tissue undergoes cyclic changes like the normal endometrium during menstrual periods and bleeds. However, most of this bleeding cannot be expelled from the vagina, it is trapped in the uterus. As a result, the uterus grows larger and becomes painful.
Adenomyosis is a common but underdiagnosed disease in women of reproductive age. It is most commonly diagnosed between the ages of 40-50. It has been reported that approximately 20-30% of women who underwent hysterectomy have adenomyosis in the uterine tissue. On average, it is estimated that one out of every 10 women has adenomyosis. However, about one-third of them do not cause any complaints, while the remaining two-thirds have complaints that affect daily life.
There are researchers who think that adenomyosis is congenital or that it is due to inflammation in the uterus. However, the most accepted view is that adenomyosis occurs with trauma to the endometrium layer on the inner surface of the uterus. Adenomyosis is more common in women aged 40-50 years and in those who have had multiple pregnancies. In addition, surgeries such as cesarean delivery or myomectomy increase the risk of adenomyosis due to trauma to the uterus.
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