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Adenomiosis - Symptom

Nombres alternativos

Adenomioma; Endometriosis interna

Síntomas:

  • Sangrado menstrual abundante o prolongado
  • Menstruación dolorosa que empeora progresivamente
  • Dolor pélvico durante la relación sexual

Nota: en muchos casos, la mujer puede ser asintomática.

Signos y exámenes:

Durante un examen pélvico, el médico puede encontrar un útero agrandado y ligeramente reblandecido. El examen también puede revelar una masa o sensibilidad en el útero.

Una ecografía del útero puede ayudar a diferenciar entre adenomiosis y otros tumores uterinos. Una resonancia magnética puede ser útil cuando la ecografía no arroja resultados definitivos.

  • Reviewed last on: 9/11/2010
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Katz VL. Benign gynecologic lesions: vulva, vagina, cervix, uterus, oviduct, ovary. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 18.

Meredith SM, Sanchez-Ramos L, Kaunitz AM. Diagnostic accuracy of transvaginal sonography for the diagnosis of adenomyosis: systematic review and metaanalysis. Am J Obstet Gynecol. 2009;201:107.e1-6.

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