Adenomyosis

Adenomyosis is a condition in which the tissue that normally lines the inside of the uterus (endometrium) grows into the muscular walls of the uterus (myometrium).

As adenomyosis develops, the uterus may become enlarged, tender, and more sensitive to hormonal changes during the menstrual cycle.

In this condition, the endometrium starts to grow into the muscular tissue of the uterus. The displaced tissue continues to respond normally to your monthly hormones — thickening, breaking down and bleeding— causing inflammation in the uterus during each menstrual cycle.

Adenomyosis typically occurs in women of reproductive age and is more commonly diagnosed in those who have had multiple pregnancies. 

The condition tends to regress after menopause as hormonal fluctuations decrease significantly.

Although adenomyosis is generally considered a benign condition, it can cause significant discomfort and impact a woman’s quality of life.

This can lead to symptoms such as:

  • Painful menstrual cramps (dysmenorrhea).
  • Heavy menstrual bleeding (menorrhagia).
  • Abnormal menstruation.
  • Pelvic pain with or without severe cramping.
  • Painful intercourse (dyspareunia).
  • Enlarged uterus.
  • Bloating or fullness.

Treatment options for adenomyosis depend on the severity of symptoms, future reproductive plans, and individual preferences. Common treatment approaches include pain management, hormonal therapies, and, in severe cases, surgical interventions like hysterectomy.

The providers at County Obstetrics & Gynecology have the knowledge, experience, and resources to identify conditions like adenomyosis.

We will then discuss available treatment options and assist you in selecting a treatment plan that best meets your needs.