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Adenomyosis Basics

From the GYN Diagnosis Articles List

My doctor mentioned my pain issues may be adenomyosis. What is this condition?My doctor mentioned my pain issues may be adenomyosis. What is this condition??

Adenomyosis is a condition where the endometrium (lining of the uterus) grows into the myometrium or muscular wall of the uterus. As a result, the uterus can become enlarged and even boggy, leading to discomfort, pain, and other symptoms. Most frequently, women will experience intense menstrual cramps, heavy and prolonged menstrual bleeding, and abdominal bloating. Other symptoms may include lower back pain, abdominal pressure, and painful intercourse. Additionally, women can pass blood clots during their period, have breakthrough bleeding, and feel fatigued. Due to excessive bleeding, some women also experience anemia.

Though the cause of adenomyosis is unknown, there are some risk factors that may cause or contribute to the condition. These include hormonal issues, prior uterine surgeries including a myomectomy or C-section, childbirth, or other trauma to the uterus that could cause displaced endometrium. Typically, women diagnosed with adenomyosis will be in their 40s and 50s, but younger women may be diagnosed as well.

Adenomyosis is completely contained within the uterus, and it is not internal endometriosis as was once believed. Both conditions involve endometrial glands and stroma in abnormal areas, but the two conditions act and respond differently.

There are a wide variety of treatment options available depending on your symptoms and how close you are to menopause. These can include both pharmaceutical and surgical options.

To decide which choice is right for you, you need to keep a symptom diary that you share with your doctor, decide if you wish to maintain your fertility, and determine how close you are to menopause. Weigh the pros and cons of each and seek a second opinion before making your final decision.


This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

05-25-2011 - 12:36 PM


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