Understanding Adenomyosis and Uterine Fibroids with Dr. Howard Curlin

Summary:This episode of Let's Talk Chronic Pelvic Pain delves into adenomyosis and uterine fibroids, two significant causes of chronic pelvic pain. Dr. Howard Curlin explains the anatomy of the uterus, the symptoms associated with adenomyosis and fibroids, and the challenges in diagnosis. The conversation also covers various treatment options, including medications and surgical procedures, while emphasizing the importance of individualized care based on patient goals and symptoms.Outline:Adenomyosis involves the endometrial glands growing into the uterine muscle.Common symptoms of adenomyosis include heavy and painful periods.Fibroids are smooth muscle tumors that can vary in size and location.Many women will have fibroids, but not all will experience symptoms.Small fibroids are often incidental findings and not the cause of pain.Adenomyosis is frequently the underlying cause of pelvic pain.Treatment options include hormonal medications and surgical procedures.Hysterectomy removes the uterus but does not always involve the ovaries.Uterine artery embolization may pose risks for future pregnancies.Surgical management of fibroids include hysteroscopic myomectomy, laparoscopic myomectomy or abdominal myomectomy.