Causes



Although many doctors believe that there are unknown causes to an adenomyosis diagnosis. There are several medical procedures and issues associated with the symptoms:

Abortion
The termination of pregnancy by the removal or expulsion from the uterus of a fetus or embryo before viability.

Dillation & Curettage

D&C, also known as dilation and curettage, is a surgical procedure often performed after a first trimester miscarriage. Dilation means to open up the cervix; curettage means to remove the contents of the uterus. Curettage may be performed by scraping the uterine wall with a curette instrument or by a suction curettage (also called vacuum aspiration), using a vacuum-type instrument.

Dillation & Evacuation
D&E (dilation and evacuation) is a minor surgical procedure which involves mechanically
opening (dilating) the cervix and cleaning out (evacuating) the uterus. It may be performed after a missed abortion (the embryo or fetus dies but no bleeding or cervical opening occurs) or inevitable abortion (the embryo fetus dies and painful or heavy bleeding occurs. If tissue from the pregnancy remains in the womb after miscarriage, it can cause heaving bleeding or infection -- a D&E aims to avoid this.
Cesarean Section

A Cesarean section (C-section) is surgery to deliver a baby. The baby is taken out through the mother's abdomen. In the United States, about one in four women have their babies this way. Most C-sections are done when unexpected problems happen during delivery. These include:
  1. Health problems in the mother
  2. The position of the baby
  3. Not enough room for the baby to go through the vagina
  4. Signs of distress in the baby
Laparoscopy

The procedure is usually done in the hospital or outpatient surgical center under general anesthesia(while you are asleep and pain-free). However, very rarely, this procedure may also be done using local anesthesia. This numbs only the area affected by the surgery and allows you to stay awake.

A surgeon makes a small cut below the belly button (navel) and inserts a needle into the area. Carbon dioxide gas is passed into the abdomen to expand the area. This gives the surgeon more room to work, and helps the surgeon see the organs more clearly.

A tube is placed through the cut in your abdomen. A tiny video camera (laparoscope) goes through this tube and is used to see the inside of your pelvis and abdomen. More small cuts may be made if other instruments are needed to get a better view of certain organs.

If you are having gynecologic laparoscopy, dye may be injected into your cervix area so the surgeon can better see your fallopian tubes.

After the exam, the gas, laparoscope, and instruments are removed, and the cuts are closed. You will have bandages over those areas.

Myomectomy or fibroidectomy

Myomectomy (my-o-MEK-tuh-mee) is a surgical procedure to remove uterine fibroids — also called leiomyomas (lie-o-my-O-muhs). These are common noncancerous growths that appear in the uterus, usually during childbearing years, but they can occur at any age.

The surgeon's goal during myomectomy is to take out symptom-causing fibroids and reconstruct the uterus. With a myomectomy, fibroids are removed and the uterus is left intact.

Uterine Embolization

Uterine artery embolization shrinks fibroids by blocking off their blood supply. The blood supply is blocked by injecting very small particles into the arteries that supply the fibroids. The particles stick to the vessel wall and cause a clot to develop, blocking off the blood supply. Once the blood supply is gone, the fibroids shrink and symptoms usually decrease or disappear. The most commonly used particle agent is polyvinyl alcohol (PVA), a substance that has safely been used in medical procedures for many years.  Uterine artery embolization is a minimally-invasive (without a large abdominal incision) technique which involves identifying which arteries supply blood to the fibroids and then blocking off those arteries.

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