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{"id":260,"date":"2021-05-20T18:01:41","date_gmt":"2021-05-20T22:01:41","guid":{"rendered":"https:\/\/vivaeve.wdslab.com\/?p=260"},"modified":"2021-07-30T09:52:02","modified_gmt":"2021-07-30T13:52:02","slug":"normal-or-not-finding-the-cause-of-painful-periods","status":"publish","type":"post","link":"https:\/\/vivaevecom.kinsta.cloud\/blog\/normal-or-not-finding-the-cause-of-painful-periods\/","title":{"rendered":"Normal or Not? Finding the Cause of Painful Periods"},"content":{"rendered":"
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By Dr. Nithya Gopal<\/a>, Director of Ob\/Gyn at Viva Eve<\/p>\n<\/div>\n\n

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More than half of women who menstruate have some pain for 1 to 2 days each month. Usually, the pain is mild and can be alleviated with a few over-the counter pills like Advil or Tylenol. But for some women, the pain is so severe that it keeps them from doing their normal activities for several days a month.\u00a0<\/p>\n<\/div>\n\n

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Painful periods<\/a> and abnormal bleeding<\/a> can be caused by many different conditions \u2013 including uterine fibroids.<\/a> However, there could be other potential causes. Painful periods can sometimes be a sign of more serious health issues\u2014 but, that is not always the case. I always tell my patients that if their monthly cycle pain interferes with their daily activities and affects their quality of life, it is definitely time to visit your doctor and run a few tests.<\/p>\n<\/div>\n\n

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Finding the cause of painful periods<\/h3>\n<\/div>\n\n
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At Viva Eve, we always recommend that you consult a physician to pinpoint the exact cause of your menstrual symptoms. Many women assume they have uterine fibroids and yes, that could be the culprit. However, it is important to know that up to 20 percent of women with symptoms that are similar to those of uterine fibroids actually have a different uterine condition called adenomyosis (ad-uh-no-my-oh-sis)<\/a>. <\/p>\n<\/div>\n\n

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What is adenomyosis?<\/h3>\n<\/div>\n\n
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Adenomyosis occurs when the lining of the uterine cavity \u2014 called the endometrium \u2014 migrates into the muscular layer of the uterus. This \u201cdisplacement\u201d of cells into the wrong layer creates massive amounts of inflammation, which causes severe pain and heavy bleeding. The surrounding muscle of the uterus swells and forms fibrous tissue in response to the inflammation. One of the key symptoms of adenomyosis is an enlarged uterus<\/a>. This inflamed or swollen area within the uterine muscle wall, called an adenomyoma, feels very much like a fibroid<\/a> on physical examination. The condition may affect the patient\u2019s entire uterus or it can be localized to one area.<\/p>\n<\/div>\n\n

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About a third of the women who have adenomyosis experience uncomfortable and painful symptoms. These symptoms \u2014 like heavy menstruation, pelvic pain<\/a>, and frequent urination \u2014 can be severe. If left untreated, heavy bleeding<\/a> experienced by patients with this condition can cause chronic anemia and fatigue. The disease can also severely affect the patients\u2019 quality of life due to chronic pain and bleeding.<\/p>\n<\/div>\n\n

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Another issue is that adenomyosis symptoms can mimic those of a slightly different condition \u2013 endometriosis<\/a>, — that is why sometimes it may take patients years to arrive at the correct diagnosis and treatment plan. With endometriosis the cells grow outside the uterus and usually in the ovaries, the cavities of the pelvis, and the supporting ligaments of the uterus.With adenomyosis the cells grow within the walls of the uterus. <\/p>\n<\/div>\n\n

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There are several overlapping symptoms, causes, and results, but effective treatment options are different. Both adenomyosis and endometriosis are the result of abnormal endometrial growth in the wrong place. In cases that are more severe and complex, both can occur at the same time. <\/p>\n<\/div>\n\n

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How is adenomyosis diagnosed?<\/h3>\n<\/div>\n\n
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Because the symptoms of fibroids<\/a> and adenomyosis are so similar, misdiagnosis is incredibly common. That is why it is recommended that a patient sees a gynecologist or practice specializing in the treatment of both fibroids and adenomyosis, with the expertise to distinguish the two conditions. Adenomyosis can be diagnosed based on several factors:<\/p>\n<\/div>\n\n

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