Adenomyosis

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

  • Unknown
  • More common in women who have had multiple children

Symptoms

  • Painful menstruation
  • A uterus that is 2-3x its normal size
  • Can be asymptomatic

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

  • 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