What are the signs and symptoms?

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The most common symptoms are:

• Abnormal or heavy menstrual bleeding.

• Painful periods, often after years without pain.

• Pain with intercourse (dyspareunia).

• Bleeding between periods.

• On vaginal examination, the uterus feels enlarged and is often tender to touch.

• Excessive menstrual bleeding can lead to symptoms of anaemia (deficiency in the number of red blood cells) or iron deficiency such as:

  • tiredness

  • dizziness

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How is it diagnosed?

 

Adenomyosis may be difficult to diagnose. The main test recommended is a transvaginal ultrasound (the ultrasound probe is placed in the vagina). 

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What is the treatment for Adenomyosis?

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Adenomyosis is difficult to treat and it will disappear after menopause so management will depend on your life stage. The following are some treatment options:

• Hysterectomy.

• IUD insertion (such as a mirena).

• GnRH agonists (an artificial hormone used to prevent natural ovulation).

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