The Difference Between Adenomyosis And Myoma?

Illustration of The Difference Between Adenomyosis And Myoma?
Illustration: The Difference Between Adenomyosis And Myoma? innovativegyn.com

Afternoon Doctor. U003cbr u003eI want to ask, are myoma and adenomyosis the same? U003cbr u003eMy doctor said that it is the same.

1 Answer:

Hi Margaret,


Thank you for asking HealthReplies.com.

Normally the uterine wall is composed of 3 layers, namely the endometrium (innermost layer), myometrium (middle layer), and perimetrium (outer layer). Adenomyosis is a condition in which the endometrium overgrows until it reaches the myometrium. Not only is the abdominal and pelvic pain very intense, especially during menstruation, this condition can also make sufferers experience heavy and prolonged menstrual bleeding. It is not clear what causes adenomyosis. However, many experts say that this condition occurs related to the growth of invasive endometrial tissue (for example, that occurs after undergoing cesarean section), developmental abnormalities from birth, inflammation of the uterus after delivery, or also the growth of stem cells from the spinal cord invading the uterine muscles. . The development of adenomyosis can be supported by the hormone estrogen, which is produced naturally in a woman's body. Therefore, adenomyosis will only heal naturally when a woman is menopausal. However, before menopause, symptoms of adenomyosis can be relieved by giving hormonal therapy, anti-inflammatory drugs, and / or surgical removal of the uterus (hysterectomy).


Myoma occurs when the lining of the myometrium grows excessively to form a mass. Indeed, myoma at first glance can show complaints that are almost the same as adenomyosis. However, these two conditions are distinctly different.


Indeed, there was no direct association between adenomyosis, ovarian cysts, and pleural effusion. In some cases, adenomyosis can grow along with endometriosis, which is an abnormal growth of endometrial tissue outside the uterus. However, in very rare cases, this endometriosis may occur outside the pelvic cavity (extra pelvic endometriosis), namely in the pleural membrane that encloses the chest and lung cavities. This condition can lead to pleural effusion.


You also need to know that there are many other conditions, apart from those related to adenomyosis, that can cause pleural effusions, including:

Infections, for example tuberculosis, pneumonia
Seepage of fluid from other organs, for example in people with congestive heart failure, kidney or liver function disorders
Cancer, for example lung cancer or other cancers that metastasize to the pleura and lungs
Autoimmune disorders, eg lupus, rheumatoid arthritis
Pulmonary embolism, and so on

You need to have your condition checked directly by an internal medicine specialist who treats you. Doctors who carry out a comprehensive examination will certainly better understand what kind of condition you are currently experiencing. If it is suspected that your current pleural effusion is related to a disturbance in your reproductive organs, the doctor can also do joint treatment with an obstetrician regarding cysts or adenomyosis that you previously experienced.


Hope it helps ..

dr. Nadia Nurotul Fuadah

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