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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