Adenomyosis

In adenomyosis, glands from the uterine lining are found within the muscular wall of the uterus. In endometriosis, tissue similar to the uterine lining is found outside the uterine cavity. The conditions can occur together, but the names describe different locations.

Adenomyosis is more common in adults than in adolescents, but it can occur in young people. Heavy bleeding or pain does not automatically mean adenomyosis. A broad assessment is important for teenagers so that learning about a condition does not become a conclusion about their own symptoms.

The most common symptoms are heavy menstrual bleeding and period pain.

Some people with adenomyosis have few or no symptoms, while others find that the symptoms affect their everyday lives considerably.

The aim is to reduce symptoms and help you function better. A doctor may consider treatment for pain and bleeding and whether hormonal treatment is suitable. With heavy bleeding, it may also be necessary to check iron stores.

The assessment is based on symptoms and any findings from examinations such as ultrasound or MRI. Ask what an examination can clarify, what options you have and when the effects of treatment will be reviewed. Follow-up should be appropriate for your age, health and the help you want.

Adenomyosis cannot be diagnosed from symptoms alone. If you have severe pain or heavy bleeding, a doctor can help decide what should be investigated further.