Adenomyosis: Symptoms, Diagnosis & Treatment
A clear guide to adenomyosis, covering warning signs, diagnosis and the treatment options for pain and heavy bleeding relief.
Treatment usually begins with
Specialist Assessment
Ultrasound or MRI
Medical Management
Surgical Options
Treatment is tailored to symptom severity, age and whether future fertility is a priority.
You may need this evaluated if...
An adenomyosis evaluation is recommended when these signs appear:
- Heavy or prolonged menstrual bleeding
- Severe menstrual cramps that worsen over time
- An enlarged, tender uterus
- Pain during intercourse
Adenomyosis is a well-understood, treatable condition, and symptoms can be significantly relieved.
What is Adenomyosis?
Adenomyosis occurs when the tissue lining the uterus grows into the uterine muscle wall, often causing heavy periods and significant pain.
Often Confused with Fibroids
Shares similar symptoms but is a distinct condition affecting the uterine wall.
Most Common Near Menopause
Symptoms often peak in the years leading up to menopause.
Diagnosed with Imaging
Ultrasound or MRI typically confirms the diagnosis without invasive testing.
Treatable
Medication and, when needed, surgery relieve symptoms effectively.
Common Symptoms
- Heavy, prolonged menstrual bleeding
- Severe menstrual cramping
- Chronic pelvic pain
- An enlarged or tender uterus
- Pain during intercourse
What Increases Your Risk
A combination of medical, lifestyle and hereditary factors can increase the likelihood of this condition.
How It Is Diagnosed
A structured assessment confirms the diagnosis and helps guide the right treatment plan.
Pelvic Examination
An exam may detect an enlarged, softened uterus.
Ultrasound
A transvaginal scan often identifies features suggestive of adenomyosis.
MRI
Detailed imaging provides a more definitive diagnosis when needed.
Blood Tests
Tests check for anemia related to heavy bleeding.
Treatment Approaches
Medical Care
- Medication to manage heavy bleeding and pain
- Hormonal therapy to reduce symptoms
- Iron supplementation if anemia is present
Surgical Care
Hysterectomy is the definitive treatment for severe cases, while uterus-preserving procedures may be considered depending on symptoms and fertility goals.
Treatment decisions are based on symptoms, test results, timing and overall health, not a single test.
Know When to Act
Recognising these signs early and acting promptly is important for the best outcome.
Book an Assessment
Schedule a consultation for a routine evaluation or ongoing symptoms.
- Heavy periods with worsening cramps needing evaluation
- Pelvic pain affecting daily life
Seek Urgent Care
Call for emergency care immediately if you notice any of the following.
- Very heavy bleeding with dizziness or weakness
- Severe, sudden pelvic pain
Not Sure What You Need?
Speak to a Care Guide and we'll help you choose the right gynecologist.
Talk to Care GuideA care guide can match your condition to the right gynecologist.
Share your concern or existing reports. We will help you choose the right hospital, doctor and appointment.
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