The best test for diagnosis of adenomyosis:
A . Ultrasound
B . Laproscopy
C . Hystroscopy
D . MRI
Answer: D
Explanation:
Adenomyosis is a non-cancerous condition of the uterus that can mimic many of the signs and symptoms of fibroids. This condition results from the lining cells of the uterus growing directly into the muscle wall of the uterus. When the lining cells of the uterus bleed at the time of the menstrual period, these misplaced cells in the muscle bleed as well. And bleeding directly into the muscle causes pain. As the blood accumulates, the surrounding muscle swells and forms fibrous tissue in response to the irritation. This swollen area within the uterine muscle wall, called an adenomyoma, feels very much like a fibroid on examination and is often confused with a fibroid on a sonogram. Adenomyosis may be mild and cause no symptoms at all, or, in more severe forms, it may lead to heavy bleeding and severe cramping during menstrual periods. Adenomyosis is present in about 10 percent of women and, therefore, is less common than fibroids.
However, now that women with adenomyosis can be diagnosed by MRI, careful examination of the cellular changes of the uterus suggests that there are many reasons why adenomyosis could cause infertility. These new studies will also be very important in helping scientists figure out what type of treatments might cure adenomyosis, or better yet, prevent it from developing at all.
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