Sorry guys. I know it’s been a hot minute since I uploaded a blog post. A lot has gone down in the last week health wise. I honestly am beginning to feel really hopeless and crushed. I know that this isn’t the end but is only the beginning. God will provide.
So the Center for Endometriosis Care (CEC) reviewed my medical records and called me Thursday. Dr. Kongoasa asked me a lot about my symptoms and where my pain was located. At the end of all his questions, he concluded that my pain is most likely due to Adenomyosis. It is one thing to know that you may have a disease like Adeno, but it is a totally different thing to have a specialist tell you they believe that is the root cause of your pain. It is a major emotional blow. I spent quite a bit of Thursday in tears and am honestly still trying to process everything. I also found out that I can’t afford to have surgery at the CEC this time.
So what is Adenomyosis?
Adeno is a disease in which Endometriotic tissue is found within the uterine wall. The symptoms include abnormally heavy or prolonged menstrual flow, and/or severe localized cramps near the uterus. This seems to be linked to Endo and there is a subset of women who suffer from both diseases. Adeno is commonly thought to only affect women over 30 who have already given birth. This is so not the case. Due to the fact that Adeno can only be diagnosed through a full pathology report on the Uterus, most women don’t get officially diagnosed until they are in their 30s and done having children. Both Endo and Adeno can affect women of any age. I am living proof of that.
Suggested surgical treatments
(Disclaimer: These are what my OBGYN suggested for me. Everyone is different and you need to talk with your own doctor rather than assume because it was suggested to me, it is the best course for you)
Dr. Kongoasa gave me a few treatment options. He said I could have a Mirena IUD implanted, a Presacral Neurectomy (PSN) performed, or a partial hysterectomy. I am way too young to begin even thinking about a partial hyst. I am honestly not very comfortable with an IUD as they are relatively new to the treatment of Adeno. My mother had a PSN before I was born. I am pretty comfortable following this treatment path.
Presacral Neurectomy (PSN)
A PSN is a procedure where the surgeon goes in (preferably laparoscopically) to remove or interrupt the nerve pathways that innervate the uterus. In 75% of patients, this procedure is very successful for many years. It does have some side effects in 5-10% of patients. These nerves can also innervate the bowels and bladder which may lead to constipation or a sense of urgency. This will not affect a woman’s fertility, but it may cause a painless labor.