Clinically speaking, adenomyosis is one of the more common diseases in women, and the probability of women suffering from this disease is still relatively high. If some women accidentally suffer from adenomyosis, they must be taken seriously psychologically, actively receive corresponding treatment, and cooperate with doctors to adopt formal examination methods, which can help doctors correctly judge the relevant conditions of the disease and receive effective treatment. So, what tests should be done for adenomyosis infertility?
The examinations required for adenomyosis infertility include ultrasound examination, hysterosalpingography, endoscopy, CA125 measurement, and magnetic resonance imaging. The specific and comprehensive examination needs to be judged based on the patient's actual situation.
Women with adenomyosis may experience uterine enlargement, thickening of the muscle layer, especially the posterior wall, leading to anterior displacement of the endometrial lining. Compared with the normal uterine muscle layer, the location of the patient's lesion is often isoechoic or slightly hyperechoic, and there is no clear boundary between the lesion and the surrounding area. Performing vaginal ultrasound examination can help improve the positive rate and accuracy of diagnosis.
Hysteroscopy can detect whether a woman's uterine cavity has enlarged, and sometimes abnormal glandular openings can also be seen. If the endometrium and some suspicious tissues below the uterus are sent to pathology for examination, it can help clarify the diagnosis of the disease. Most patients with adenomyosis have significantly higher levels of CA125 in their blood compared to normal individuals, and the positivity rate is over 80%. Meanwhile, in patients with adenomyosis, the larger the uterus, the higher the level of CA125. The determination of CA125 can promote auxiliary diagnosis and treatment, and also help differentiate uterine fibroids.
