Adenomyosis
Adenomyosis is a benign condition in which the endometrial lining grows into the muscular wall of the uterus. It commonly causes heavy, painful periods and an enlarged, tender uterus.
Table of Contents
Quick Facts
- ICD-10: N80.0
- Affected: Reproductive-age women
- Definitive cure: Hysterectomy
Symptoms
- Heavy or prolonged menstrual bleeding
- Severe menstrual cramps
- Chronic pelvic pain
- Pain with intercourse
- Enlarged, tender uterus
- Some women have no symptoms
Diagnosis
- Pelvic examination
- Transvaginal ultrasound
- MRI for better characterization
- Final diagnosis after hysterectomy is sometimes the only definitive method, but imaging is usually sufficient
Treatment
- NSAIDs for pain
- Hormonal contraception (combined pills, progestin-only methods)
- Levonorgestrel-releasing IUD
- GnRH agonists for short-term symptom control
- Uterine artery embolization
- Endometrial ablation in selected cases
- Hysterectomy — definitive cure when fertility is no longer desired
When to See a Doctor
See a doctor for heavy periods, severe menstrual pain, or chronic pelvic pain — these are not 'just part of being a woman' and effective treatments exist.
Frequently Asked Questions
Is adenomyosis the same as endometriosis?
No. In adenomyosis, endometrial tissue grows within the uterine wall; in endometriosis, similar tissue grows outside the uterus. They can co-exist.
Can I get pregnant with adenomyosis?
Many women with adenomyosis conceive successfully, though it may be associated with reduced fertility in some cases.
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.
References
- American College of Obstetricians and Gynecologists. Adenomyosis Information.