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Flucloxin নিবেদিত মেডিলাইভের ১৮৭৮ তম পর্বের বিষয় "এডেনোমায়োসিস বন্ধ্যাত্বের জন্য কতটুকু দায়ী?" সাথে থাকছেন বন্ধ্যাত্ব বিশেষজ্ঞ ও গাইনোকোলজিস্ট ডা. শারমিন আব্বাসি এডভান্সড ডিপ্লোমা ইন এআরটি এন্ড রিপ্রোডাক্টিভ মেডিসিন (জার্��ানি) ফেলো ইন ইনফারটিলিটি এন্ড এআরটি (দিল্লী) সহযোগী অধ্যাপক আনোয়ার খান মডার্ন মেডিকেল কলেজ হাসপাতাল চেম্বারঃ ইনফার্টিলিটি কেয়ার, আনোয়ার খান মডার্ন মেডিকেল কলেজ হাসপাতাল, ধানমন্ডি, ঢাকা ১২০৫ সিরিয়ালঃ 01796674096 মিডিয়া পার্টনার - MediTalk Digital Symptoms Sometimes, adenomyosis causes no signs or symptoms or only mild discomfort. However, adenomyosis can cause: Heavy or prolonged menstrual bleeding Severe cramping or sharp, knifelike pelvic pain during menstruation (dysmenorrhea) Chronic pelvic pain Painful intercourse (dyspareunia) Your uterus might get bigger. Although you might not know if your uterus is bigger, you may notice tenderness or pressure in your lower abdomen. When to see a doctor If you have prolonged, heavy bleeding or severe cramping during your periods that interferes with your regular activities, make an appointment to see your doctor. Causes The cause of adenomyosis isn't known. There have been many theories, including: Invasive tissue growth. Some experts believe that endometrial cells from the lining of the uterus invade the muscle that forms the uterine walls. Uterine incisions made during an operation such as a cesarean section (C-section) might promote the direct invasion of the endometrial cells into the wall of the uterus. Developmental origins. Other experts suspect that endometrial tissue is deposited in the uterine muscle when the uterus is first formed in the fetus. Uterine inflammation related to childbirth. Another theory suggests a link between adenomyosis and childbirth. Inflammation of the uterine lining during the postpartum period might cause a break in the normal boundary of cells that line the uterus. Stem cell origins. A recent theory proposes that bone marrow stem cells might invade the uterine muscle, causing adenomyosis. Regardless of how adenomyosis develops, its growth depends on the body's circulating estrogen. Risk factors Risk factors for adenomyosis include: Prior uterine surgery, such as C-section, fibroid removal, or dilatation and curettage (D&C) Childbirth Middle age Most cases of adenomyosis — which depends on estrogen — are found in women in their 40s and 50s. Adenomyosis in these women could relate to longer exposure to estrogen compared with that of younger women. However, current research suggests that the condition might also be common in younger women. Complications If you often have prolonged, heavy bleeding during your periods, you can develop chronic anemia, which causes fatigue and other health problems. Although not harmful, the pain and excessive bleeding associated with adenomyosis can disrupt your lifestyle. You might avoid activities you've enjoyed in the past because you're in pain or you worry that you might start bleeding.