What is Adenomyosis?

Adenomyosis; the ancient Greek reference literally means a “condition where glandular tissue invades the muscle layer of the uterus”.

  • Adeno / adēn, means “gland” and refers to the endometrial tissue.
  • Myo comes from the Greek word Mys meaning “muscle”, referring to the uterus (the myometrium).
  • And Osis which is a common suffix in medical terms meaning a condition or abnormal state.

Adenomyosis is a condition where the inner lining of the uterus (the endometrium) grows in the muscle wall of the uterus (the myometrium). This leads to thickening of the uterine walls.

Adenomyosis is a Gynaecological condition but the cause is still unknown. The only cure is a hysterectomy (removal of the uterus).

A related condition

  • Adenomyosis and Endometriosis are physiologically related conditions with some overlapping symptoms
  • HOWEVER, they are two different conditions affecting different parts of the reproductive system and body

Diagnosis

  • Adenomyosis is usually confirmed through imaging scans like a MRI or transvaginal ultrasound
  • Often it is only definitively identified after a biopsy is taken from a hysterectomy

Prevalence

  • Adenomyosis is more commonly found in people in their late 30s to early 40s (those assigned female at birth)
  • It is difficult to diagnose as often symptoms overlap with other conditions

Symptoms
The most common symptoms are:

  • heavy or long periods
  • severe menstrual cramps (dysmenorrhea)
  • pelvic pain
  • bloating
  • pain during sex
  • Although, some people don’t present with any symptoms at all

Fertility
Adenomyosis can cause infertility due to:

  • the uterus becoming enlarged
  • it may affect embryo implantation
  • causing hormonal imbalances
  • HOWEVER, it is still very possible to conceive naturally or with fertility treatments.

Symptom management

  • hormonal treatments (such as birth control pills or IUDs)
  • pain relief medication
  • heat treatment
  • taking a multi-disciplinary approach, including diet, exercise and lifestyle changes
  • acupuncture & phsyical therapy

Some handy reference websites:

QENDO

Jean Hailes Fact Sheet

Health Direct

Mayo Clinic

World Endometriosis Society