Adenomyosis
Adenomyosis occurs when the inside lining of the uterus is found within the muscular wall of the uterus, enlarging it.
Symptoms
These include heavy and painful periods. A specialist may notice a ‘bulky’ or ‘boggy’ uterus on examination. It can also be tender to move. Adenomyosis may be difficult to diagnose accurately.
Vaginal ultrasound scan and MRI have become increasingly useful, and diagnosis is usually made using a combination of your patient history, examination findings and pelvic imaging. Severe adenomyosis is easier to diagnose.
Treatment
Treatment for adenomyosis depends on many factors, including your symptoms, the effect it is having on you, and the presence of other issues such as endometriosis and infertility. A review with a specialist is recommended. A hysterectomy (removal of the uterus) may be recommended if your family is complete and other strategies have been unsuccessful.
We can help
If you think you may have adenomyosis and would like to talk to us about how we can help, please feel free to contact us. You can also request an appointment online.
Further reading
Related conditions
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High volume, long-lasting periods with flooding, clotting or anaemia. Causes can include fibroids, polyps, hyperplasia, PCOS, infection, or endometriosis.
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Pain, discomfort or cramps around the time of menstruation. Can be due to prostaglandin production, or caused by endometriosis or adenomyosis.
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Defined as pelvic pain lasting more than 6 months. Causes can include ovarian cysts and urinary tract infections, but can be elusive and hard to diagnose.
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Periods that last more than 7 days. Causes include fibroids, polyps, hyperplasia or cancer of the uterus, PCOS, genital tract infection, and endometriosis.
Treatments
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A procedure to remove a woman’s uterus. This can be achieved via either abdominal keyhole surgery, abdominal incision, or performed through the vagina.
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A small plastic contraceptive device is placed inside the uterus with strings extending out through the cervix. Can be used to treat adenomyosis and endometriosis.