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What is Adenomyosis?


Adenomyosis is a condition of the uterus (womb) where the cells that normally form a lining on the inside of the uterus also grow in the muscle wall of the uterus.

What are the signs and symptoms?

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

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). 

What is the treatment for Adenomyosis?

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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