Adenomyosis – Causes, Symptoms, Diagnosis, And Treatment
What is adenomyosis?
Adenomyosis refers to a gynecological condition, in which endometrial tissue (inner lining of the uterus) grows or moves into the uterus muscles. This tissue normally lines the uterus.
What causes adenomyosis?
The cause of adenomyosis is clearly not known. Sometimes, adenomyosis may lead to a mass or growth within the uterus, which is called adenomyoma.
The disease mostly occurs in women ages 40 to 50 that have had at least one pregnancy.
What are the symptoms of adenomyosis?
In many cases, adenomyosis causes no symptoms. When symptoms occur, they can include:
- Long-term or heavy menstrual bleeding
- Painful menstrual periods, which gets worse
- Pelvic pain during intercourse
How is adenomyosis diagnosed?
The doctor will perform a pelvic exam and review the symptoms. During the pelvic exam, the doctor may find a soft and slightly enlarged uterus, a uterine mass or uterine tenderness.
The doctor may suspect adenomyosis if a woman has symptoms of it that are not caused by other problems.
The doctor may perform an ultrasound of the uterus, but it cannot give a clear diagnosis of adenomyosis. The only way to confirm the diagnosis is by examining the tissue of the uterus after removing it surgically.
How is adenomyosis treated?
Most women with adenomyosis don’t need treatment, as only a few will have symptoms.
The doctor may recommend birth control pills and an IUD that has progesterone to help decrease heavy bleeding. Medicines such as ibuprofen or naproxen may also be recommended to help manage symptoms.
Surgery may be recommended to remove the uterus if there are severe symptoms.
This feature is for informational purposes only and is not intended to substitute the expert guidance of a doctor. We advise seeing a doctor if you have any health concerns.