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Saturday, April 7, 2012


Adenomyosis is uterine thickening that occurs when endometrial tissue, which normally lines the uterus, moves into the outer muscular walls of the uterus. 

Symptoms of Adenomyosis:

  •     Heavy or prolonged menstrual bleeding
  •     In some women, adenomyosis is "silent" — causing no signs or symptoms — or only mildly  uncomfortable. But other women with adenomyosis may experience
  •     Severe cramping or sharp, knife-like pelvic pain during menstruation (dysmenorrhea)
  •     Menstrual cramps that last throughout your period and worsen as you get older
  •     Dyspareunia
  •     Bleeding between periods -intermenstrual bleeding
  •     Passing blood clots during your period
  •     Uterus may increase to double or triple its normal size, lower abdomen seems bigger or feels tender.

Causes of Adenomyosis

The cause of adenomyosis isn't known. Expert theories about a possible cause include:

    Invasive tissue growth. Some experts believe that adenomyosis results from the direct invasion of endometrial cells from the surface of the uterus into the muscle that forms the uterine walls. Uterine incisions made during an operation such as a cesarean section (C-section) promotes the direct invasion of the endometrial cells into the walls of the uterus.
    Developmental origins. Other experts speculate that adenomyosis originates within the uterine muscle from endometrial tissue deposited there when the uterus was first forming in the female fetus.
    Uterine inflammation related to childbirth. Still another theory suggests a link between adenomyosis and childbirth. An inflammation of the uterine lining during the postpartum period might cause a break in the normal boundary of the cells that line the uterus.

Regardless of how adenomyosis develops, its growth depends on the circulating estrogen in a woman's body. When estrogen production decreases at menopause, adenomyosis goes away.

Thursday, April 5, 2012

Luteinized Unruptured Follicle(LUF)

-Dr. Uma Shrivastava

Luteinized Unruptured Follicle(LUF) is the condition when there is normal ovum development within the follicle which turns into the corpus luteum without its release from the follicle due to inability of follicle rupture.
The possible cause of LUF is absence of LH surge at the time of ovulation. LH indirectly lutenizes the follicle by inducing progesterone production in the follicle. Formation of corpus luteum continues & production of both estrogen & progesterone hormones also continues as in normal folliculogenesis.