Causes and treatment of adenomyosis It is still not clear from a medical point of view what causes adenomyosis. However, there are several possible explanations, for example, the area where the lining of the uterus meets the muscle can be injured after a miscarriage or medical abortion. Degenerated tissues or stem cells from the muscle layer of the uterine wall can also contribute to the development of the disease. One of the more recent approaches clarifies that due to the contractions of the uterus, small tears can form between the mucous membrane and the muscle layer. Because of this injury, more estrogen is released, which allows cells to grow in the muscle layer. What are the treatment approaches for adenomyosis? Hormonal treatment, for example in the form of a hormonal spiral. Progestins can slow down the activity of the lining of the uterus. Surgical treatment to remove the affected parts. The uterus and therefore fertility remains intact. Once family planning is complete, partial removal of the uterus can be undertaken. Why is diet important in the treatment of adenomyosis? A change in diet can also be important in treating adenomyosis. Nutritional therapy is based on several elements, for example: Inhibition of chronic inflammation through an anti-inflammatory diet with intake of healthy fats and an abundance of antioxidant plant substances. Reducing the intake of irritants such as histamine. Weight loss to reduce estrogen levels. Anti-inflammatory diet Meat consumption should be limited or avoided, as red meats and sausages contain many pro-inflammatory substances. Among them is arachidonic acid, an omega-6 fatty acid found primarily in pork. Too much sugar also provokes inflammation. That is why it makes sense to limit the consumption of pasta, sweets and white flour products. Wheat is also pro-inflammatory for some patients. The menu should be filled with vegetables. A study has shown that cruciferous vegetables have a beneficial effect on inflammation in endometriosis. They also affect tissue water balance: this leads to less water retention, less swelling and potentially less discomfort. Omega-3 Fatty Acids Omega-3s support the body in fighting inflammation. In addition to fatty fish, omega-3 fatty acids are found in flaxseed oil or flax and chia seeds, as well as walnuts. Histamine Because histamine can increase pain, avoiding it may reduce discomfort in some sensitive patients. Therefore, it may be important to avoid foods containing histamine for a week before and during menstruation. Histamine is contained in: Chocolate; Red wine; Tomatoes; Spinach; Avocado; Lactic acid-fermented vegetables such as sauerkraut; Aged cheeses or sausages. Body weight control Obesity alters hormonal balance. the factthat abdominal fat produces pro-inflammatory agents, making symptoms worse. Losing weight can lower hormone levels, preventing the growth of new tissue. References: https://www.cuerpomente.com/salud-natural/tratamientos/dolor-menstrual-intenso-es-adenomiosis-causa_10444 https://pubmed.ncbi.nlm.nih.gov/33321760/