What is adenomyosis?
Adenomyosis is similar to endometriosis. It occurs when the inside lining of the uterus (endometrium) is found within the muscular wall of the uterus. This may cause the uterus to become enlarged. Adenomyosis may be patchy, or severe, causing a severely enlarged uterus.
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 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.