Adenomyosis, also known as intrinsic endometriosis, refers to the invasion of endometrial glands and interstitium into the myometrium to form diffuse or localized lesions, which are common and intractable diseases.
The reasons for its formation are mainly explained in the following points in traditional Chinese medicine:
Traditional Chinese medicine believes that the formation of adenomyosis is related to factors such as qi stagnation, cold condensation, heat and dryness, qi deficiency, and kidney deficiency. These factors lead to blood stasis blocking Chong Ren and the uterus, making menstruation difficult, which can lead to symptoms such as dysmenorrhea.
At the same time, adenomyosis mostly occurs in the postpartum and post-abortion situations, which may be related to postpartum or postoperative damage to righteous qi and reduced resistance, making it easy for cold evil to invade and formCold coagulation and blood stasis；or due to mood swings leading to stagnation of liver qi, the formation of qi stagnation and blood stasis; Or the fluid in the body runs abnormally, accumulates into phlegm and dampness, blocks the blood flow, and forms phlegm coagulation and blood stasis.
2. Pathogenesis:Traditional Chinese medicine believes that the main pathogenesis of adenomyosis is blood stasis block, Chong Ren, and uterus. The formation of blood stasis is related to qi stagnation, cold condensation, phlegm dampness and other leading factors.
When these factors lead to the imbalance of qi and blood in the body and the dysfunction of the internal organs, part of the menstrual blood does not follow the normal path and goes retrograde, and the blood stasis of the menstrual period accumulates in the lower abdomen, blocking the chongren, the pulse, the uterus, and the cell network and causes the disease.
The following four categories of conditions are particularly susceptible to adenomyosis:
1.Obstruction of the reproductive system:Congenital or acquired disorders can cause blockage of the genital tract, preventing menstrual blood from draining properly, causing adenomyosis. It can also be a reason why women suffer from adenomyosis and are infertility.
2.Progesterone abnormalities:Progesterone abnormalities may also trigger endometriosis, resulting in a higher incidence of adenomyosis in multiparous women than in nulliparous women. This further demonstrates the association between progesterone abnormalities and adenomyosis.
3.Improper operation of uterine surgery:Improper uterine surgery or manipulation can increase the incidence of adenomyosis by bringing endometrial fragments into the myometrium or injuring the myometrium. For example, procedures such as cesarean section, cesarean section in the second trimester, myomectomy, and correction of uterine malformations can all pose this risk.
4.Decline in ovarian function:Women around menopause are more likely to develop adenomyosis because ovarian function begins to decline, ovulation decreases, and estrogen levels in the body increase. The endometrium is prone to hyperplasia and spreads to the myometrium, inducing adenomyosis.