What is Adenomyosis ?

Endometriosis interna; Adenomyoma

Adenomyosis is a medical condition characterized by the presence of ectopic glandular tissue found in muscle. The term adenomyosis is derived from the terms adeno- (meaning gland), myo- (meaning muscle), and -osis (meaning condition). Previously named as endometriosis interna, adenomyosis actually differs from endometriosis and these two disease entities are found together in only 10% of the cases

Adenomyosis is uterine thickening that occurs when endometrial tissue, which normally lines the uterus, moves into the outer muscular walls of the uterus.

Causes, incidence, and risk factors of Adenomyosis

The cause is unknown. Sometimes adenomyosis may cause a mass or growth within the uterus, which is called an adenomyoma.

The disease usually occurs in women older than 30 who have had children. It is more likely in women with previous cesarean section or other uterine surgery.

Symptoms of Adenomyosis

Long-term or heavy menstrual bleeding

Painful menstruation , which gets increasing worse

Pelvic pain during intercourse

Note: In many cases, the woman may not have any symptoms.

Signs and tests of Adenomyosis

During a pelvic exam, the doctor may find an soft and slightly enlarged uterus. The exam may also reveal a uterine mass or uterine tenderness.

An ultrasound of the uterus may help tell the difference between adenomyosis and other uterine tumors. MRI can be helpful when ultrasound does not give definite results.

Treatment for Adenomyosis

Most women have some adenomyosis as they near menopause but few women have symptoms, and most women don’t require any treatment.

In some cases, pain medicine may be needed. Birth control pills and a progesterone-containing intrauterine device (IUD) can help decrease heavy bleeding.

A hysterectomy may be necessary in women with severe symptoms.

Expectations (prognosis)

Symptoms usually go away after menopause. A hysterectomy completely relieves symptoms.

Calling your health care provider

Call for an appointment with your health care provider if you develop symptoms of adenomyosis.

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What is Adenomyosis ?

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