About
About
- A thickening of the uterus
- Occurs when endometrial tissues moves into the uterus’ outer muscular walls
- May result in an adenomyoma, which is a mass/growth inside the uterus
Potential Causes
Potential Causes
- Unknown
- More common in women who have had multiple children
Symptoms
Symptoms
- Painful menstruation
- A uterus that is 2-3x its normal size
- Can be asymptomatic
Diagnosis
Diagnosis
- A pelvic exam that reveals an enlarged, tender uterus
- Ultrasound/MRI imaging of the uterus can detect signs of it
- The only way to confirm a diagnosis is to examine the uterus after hysterectomy
Treatment
Treatment
- Heat application: Baths, heating pads, hot water bottles
- Anti-inflammatory drugs (NSAIDs): Taking them 1-2 days before the start of your period and during your period can reduce menstrual blood flow and help relieve pain
- Hormone medications: Combined estrogen-progestin birth control pills, patches or vaginal rings might reduce heavy bleeding and pain
- Intrauterine Device (IUD): Can keep you from getting your period, which might provide some relief
- Hysterectomy: If your pain is severe and no other treatments have worked, your uterus can be removed