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Doctor insights on: Is Adenomyosis Always Painful

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Is adenomyosis always painful?

Is adenomyosis always painful?

Usually: Adenomyosis is essentially an invasion of the muscle layer of the uterus with lining cells of the uterine cavity. One is essentially having a period inside the muscle walls. Early on, there may be negligible pain but by and large it is painful with heavy menses, cramping and hemorrhage. It usually ends with a hysterectomy. ...Read more

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Adenomyosis (Definition)

Adenomyosis is when glands and stroma from the uterine lining is found buried in the muscle wall of the uterus itself. The uterus at times is enlarged and it is boggy or soft in nature ...Read more


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Is painful intercourse a symptom of endometriosis?

Is painful intercourse a symptom of endometriosis?

YES: Many women with endometriosis have painful sex, which is a common symptom. But most women with painful sex do not have endometriosis. You should always check for all causes of pain. ...Read more

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Is appendicitis ALWAYS painful and tender?

Is appendicitis ALWAYS painful and tender?

Almost: I try very hard to always "always" and "never." Yes I've seen painless appendicitis rarely but there are usually other clues. History of anorexia, constipation and malaise are prominent. Elevated WBC with lseft shift is prominent and even the "painless" abdomen when approached carefully will demonstrate some rebound tenderness and guarding. Fortunately we do have CT scanning - about 90% accurate. ...Read more

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How painful is endometriosis?

How painful is endometriosis?

Variable: In some women, even a large amount of endometriosis causes no pain. In other women a small amount causes significant pain. Women feel a variety of different pain symptoms and the severity is different from person to person. It can be debilitating or it can be very mild. ...Read more

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Is it true that ovarian cysts cause more painful periods?

No: I am not aware of any evidence that ovarian cysts lead to more painful menstrual cramps. Menstrual cramps are primarily related to the release of prostaglandins in the uterus. ...Read more

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Could painful periods mean ovarian cancer? Is it possible for painful periods with a lot of cramping to indicate ovarian cancer? .

Could painful periods mean ovarian cancer? Is it possible for painful periods with a lot of cramping to indicate ovarian cancer?

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Unlikely: Unfortunately, most ovarian cancers don't have symptoms. If they do, it is usually vague abdominal discomfort, bloating, getting full early. Most ovarian cancers happen after the menopause. However, some young women with certain ovarian cancers can present with pain. So if you are concerned, you need to see your gynecologist. ...Read more

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Why does mole occurs to me under the vagina during periods it is very painful and uncomfort?My age is 17(female) ..

Not sure: I would time a visit to an ob/gyn exactly when this painful mole will be present. It must be evaluate with an exam, in person, with someone who can counsel you appropriately. ...Read more

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Pessery removal i have no problem inserting the pessery and it is painless however removal is extremely painful?

Pessery removal
i have no problem inserting the pessery and it is painless however removal is extremely painful?

A few tricks : Ky jelly or astroglide may provide lubrication making removal easier. You may need estrogen cream to help with vaginal atrophy. Your doctor can help you with this. If your pessary is the kind that has a small hole try tying a loop of dental tape through the hole and letting the string hang out of the vagina. Then to remove you simply pull the string. Works great. Dental tape not dental floss. ...Read more

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Are carbuncles always painful? Is it possible to have a carbuncle but not notice it because there is no pain? .

Yes: Unless you have a rare disorder that does not allow you to feel pain, a carbuncle is generally a very painful infection. ...Read more

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Is it normal if period cramps are felt around the rectal area but not too intense. Is it endometriosis?

Is it normal if period cramps are felt around the rectal area but not too intense. Is it endometriosis?

Menstrual cramps: The nerves that go to your uterus all go all over the pelvis and some people do have pain in their rectum or even diarrhea during their menses. It is also possible that you may have some endometriosis that is causing this. I would recommend further in person evaluation from a doctor regarding this. ...Read more

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Dr could only get scant sample of endometrial lining for biopsy. Had problem getting through cervix because curved. Extremely painful. Is this common?

Dr could only get scant sample of endometrial lining for biopsy. Had problem getting through cervix because curved. Extremely painful. Is this common?

Cervical stenosis: It is very common for the gynecologist to have difficulty inserting a biopsy instrument through the cervix when a patient is in menopause. This is called cervical stenosis. If the doctor could get the instrument into the uterine cavity and only retrieved scant tissue, that would imply that the lining of the uterus is atrophic or thin. If there is any question, you should have an ultrasound. ...Read more

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Can an IUD make periods very painful?

Can an IUD make periods very painful?

Possible: Some women may notice more cramping, especially if the iud is causing them to have heavier periods. Taking Ibuprofen will help ease this cramping. ...Read more

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Is vulvodynia when sex is painful down there?

Yes: Vulvodynia means pain the vulva, it could be during intercourse or all the time. Provoked vulvodynia pain is elicited at the time of penetration, with a burning, stinging, reaping sensation. ...Read more

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This is embarrassing but could there be a medical reason that sexual intercourse is always painful?

This is embarrassing but could there be a medical reason that sexual intercourse is always painful?

Dyspareunia: Yes. It even has a medical condition and name. Your gynecologist should be able to help sort this out for you. ...Read more

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Adenomyosis-large cysts and uterus is boggy and very large is there anything that makes an impact besides menopause and hysterectomy?

Adenomyosis-large cysts and uterus is boggy and very large is there anything that makes an impact besides menopause and hysterectomy?

Possibly: Perhaps you can get relief of symptoms by using birthcontrol pills or from lupron (leuprolide). You need to speak with a doctor, probably have an ultrasound to assess. I'd be happy to see you if you are interested. If you are premenopausal. We are in tarzana (san fernando valley). 818 344-8522. ...Read more

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Vaginal entrance is tender during period. Vulva is sore, and anus is periodically sore all during menstruation. Why is this ?

Vaginal entrance is tender during period. Vulva is sore, and anus is periodically sore all during menstruation. Why is this ?

Pain during period: One thing that comes to mind is endometriosis, which is when cells from the uterus grow in other areas of the body. The pain can happen wherever the cells grow, like the inside of the abdomen or colon, and it's usually worse around your period. First step in getting this evaluated is to see your family doctor or gynecologist. Best of luck! ...Read more