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Review finds hysterectomy can be avoided for common gynecological condition - Californianewstimes.com

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Kimberly A. Kor, MD, Deputy Gynecologist at UTSW’s William P. Clements Junior University Hospital.Credit: UT Southwestern Medical Center

Adenomyosis (abnormal tissue growth to the muscular wall of the uterus that causes painful spasms and severe or long-term menstrual bleeding) is more common than generally accepted, UT Southwestern Medical A review of the literature by the center’s gynecologist revealed.

Up to 1 in 3 If you have adenomyosis and should be considered in the differential diagnosis of abnormal uterine bleeding and / or adenomyosis , The researchers pointed out. This syndrome, considered a common uterine condition, is often not diagnosed until a hysterectomy is performed, JAMA Communication network.. Researchers have identified several medical treatments and uterine-sparing techniques that can effectively improve symptoms without the need for a hysterectomy.

“Many women come to me and say that the only solution ever offered is a hysterectomy. Kimberly A. Kor, Deputy Chief of Gynecology at UTSW’s William P. Clements Junior University Hospital and a member of the Rowe Foundation’s Center for Women’s Preventive Medicine, said: UT Southwestern.

State-of-the-art ultrasound and MRI imaging combined with pelvic examinations can often detect conditions, Dr. Ko said. She and her colleagues encouraged raising awareness of this condition and its associated condition, endometriosis. A person who begins menstruation.Social traditions can inaccurately teach younger women that severe bleeding and pain during menstruation are normal, but if left untreated, these symptoms will intensify over time and life. May lead to poor quality and menstrual cramps , And the problem of childbirth.

“Physicians often consider adenomyosis to be a condition of women in their 40s and 50s, because adenomyosis is diagnosed by removing the uterus, which develops much earlier. “We do,” said Dr. Ko, a former National Institutes of Health-backed clinical laboratory. A scholar who is an expert in several national organizations, including the American College of Obstetricians and Gynecologists (ACOG), Food and Drug Administration (FDA), and Centers for Disease Control and Prevention (CDC). “Increasing clinical awareness is needed to ensure proper patient care and encourage additional research to improve understanding of adenomyosis.”

There are no specific FDA-approved medical treatments for the treatment of adenomyosis, but drugs developed for contraception or symptoms of other gynecological conditions such as uterine fibroids and endometriosis. You can use to manage the status. The authors need further clinical and pathological studies, such as which ages and ethnic groups are most commonly affected, and what their condition can tell us about uterine cancer. Said there is.


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For more information:
Kimberly A. Kho et al, Diagnosis, Evaluation, and Treatment of Adenomyosis, JAMA (2021). DOI: 10.1001 / jama.2020.26436

Quote: According to a review, a common gynecological disorder obtained on September 11, 2021 from https: //medicalxpress.com/news/2021-09-hysterectomy-common-gynecological-condition.html (September 2021) 11th) I found that I could avoid hysterectomy

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