Write definition , risk factors , clinicalmanifestations and management approach of the following briefly

A. Adenomyos
B. Endometrial polyp
C. Endometrial hyperplasia

A. Adenomyosis:

Definition: Adenomyosis is a condition in which the lining of the uterus (endometrium) grows into the muscular wall of the uterus.
Risk factors: Previous uterine surgery, childbirth, being in your 40s or 50s, and hormonal factors.
Clinical manifestations: Heavy menstrual bleeding, severe menstrual cramps, pelvic pain, and enlarged uterus.
Management approach: Treatment options may include pain medication, hormone therapy, conservative surgery, or a hysterectomy.

B. Endometrial polyp:
Definition: Endometrial polyps are growths attached to the inner wall of the uterus that protrude into the uterine cavity.
Risk factors: Hormonal imbalances, obesity, high blood pressure, and tamoxifen use.
Clinical manifestations: Irregular menstrual bleeding, heavy periods, bleeding between periods, and infertility.
Management approach: Treatment may involve monitoring the polyps, hormone therapy, or surgical removal through hysteroscopy.

C. Endometrial hyperplasia:
Definition: Endometrial hyperplasia is an overgrowth of the lining of the uterus, which can lead to abnormal bleeding.
Risk factors: Hormonal imbalances, obesity, polycystic ovary syndrome (PCOS), and certain medications.
Clinical manifestations: Abnormal uterine bleeding, changes in menstrual cycle, and postmenopausal bleeding.
Management approach: Treatment options vary depending on the severity of the hyperplasia and may include hormone therapy, surgical removal of the lining (hysteroscopy), or hysterectomy.