Symptoms Of Adenomyosis

Symptoms Of Adenomyosis
The indications of Adenomyosis may commence with mild and unconscious manifestations, progressing in intensity, thereby impacting menstrual patterns, fertility, and overall well-being. Approximately one-third of women may remain asymptomatic. Conversely, in some instances, the symptoms can be markedly distressing and incapacitating. Typical signs of adenomyosis include:
Common Signs
- Bleeding between periods
- Painful periods
- Pelvic pain
- Enlarged uterus
- Abdominal pressure or bloating
What Are The Symptoms Of Adenomyosis?
Adenomyosis is a prevalent reproductive tract disorder, impacting around 20-35% of women. This condition arises when the uterine lining extends into the muscular wall. It predominantly affects women in their childbearing years, particularly those who have undergone at least one full-term pregnancy. While some cases of adenomyosis may exhibit no symptoms or only mild ones, others can be severe enough to disrupt daily life, work, and overall well-being.
Diagnosing uterine adenomyosis poses some challenges due to its symptoms resembling those of other gynaecological conditions, like uterine fibroids and endometriosis. If you suspect adenomyosis, gaining insight into its symptoms, causes, and available treatment options can be beneficial. Arrange a consultation with our physician at a nearest fibroid clinic for an accurate diagnosis today!

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Abdominal Pressure or Bloating
Adenomyosis has the potential to induce various digestive problems, such as constipation, nausea, and increased frequency of urination. The enlargement of the uterus exerts additional pressure on the adjacent organs like the bladder, intestines, and rectum. The impact on specific organs varies based on the location where the endometrial tissue proliferates. Digestive issues, particularly stomach problems, are frequently associated with Adenomyosis, contributing to a sense of bodily discomfort and lack of control.
Heavy Menstrual Bleeding
One prevalent indication of Adenomyosis is the occurrence of profuse menstrual bleeding. The displaced endometrial tissue continues to function as if it were within the uterine lining, thickening and bleeding in tandem with a woman’s regular menstrual cycle. The accumulation of excess blood and tissue leads to a considerable enlargement of the uterus, reaching two or three times its original size. The substantial blood loss associated with Adenomyosis stands as a primary contributor to iron deficiency in women, elevating their vulnerability to anemia.
Bleeding Between Periods
Females affected by Adenomyosis may encounter irregular menstrual cycles, potentially involving bleeding between periods. This irregularity is linked to the displacement of the uterine lining into the muscle, leading to damage of the blood vessels within the womb and therefore resulting in unpredictable bleeding. During the initial phases of pregnancy, spotting may occur, possibly being misconstrued as an early onset of a regular period. If pregnancy is not a possibility, the presence of Adenomyosis may be a consideration.
Painful Periods
Adenomyosis prompts the endometrial tissue to typically shed during menstruation and grow abnormally into the uterine walls. This displacement of tissue during the menstrual cycle can harm surrounding blood vessels and create pockets of trapped blood within the uterine wall, thus resulting in extremely painful periods. Such intense discomfort may hinder individuals from attending work, school, or engaging in daily activities during their menstrual cycle. If you are experiencing significant menstrual pain, it is highly advisable to consult your doctor regarding the possibility of Adenomyosis.
Enlarged Uterus
The extent of your symptoms of Adenomyosis can result in an enlarged uterus. The thickening of uterine walls due to the presence of endometrial tissue may lead to the uterus expanding to two or three times its normal size. In certain instances, this enlargement may manifest as a protruding abdomen, commonly referred to as an “adenomyosis belly,” resembling a pregnancy of three to six months. Additionally, if uterine fibroids are present, their growth or multiple occurrences within the uterus can contribute to further enlargement.
Pelvic Pain
Pelvic pain is a prevalent and often distressing symptom shared by both Adenomyosis and Uterine Fibroids. In the case of Adenomyosis, this pain can evolve into a persistent, sharp, knife-like sensation. The intensity of pelvic pain might severely hinder regular activities, including sexual intercourse, and in particularly severe cases, it can lead to nausea or even confinement to bed. It is crucial to openly and honestly discuss all symptoms with your doctor, particularly those affecting your emotional relationships, mental well-being, and overall quality of life.
Early Symptoms Of Adenomyosis
- Mild menstrual pain
- Excessive menstrual bleeding
- Bleeding or spotting between periods
- Abdominal pressure or bloating
- Enlargement of the uterus
Advanced Symptoms Of Adenomyosis
The symptoms of Adenomyosis differ among individuals, contingent on the location and severity of the condition. Women with diffuse Adenomyosis frequently encounter period pain and substantial menstrual bleeding; while those with focal adenomyosis are more likely to face challenges related to primary infertility. More advanced symptoms of Adenomyosis include:
- Intense period pain
- Excessive menstrual bleeding
- Discomfort during sexual intercourse
- Persistent pelvic pain
- Low iron levels and anaemia
- Infertility
Frequently Asked Questions About the Symptoms of Adenomyosis
What Does Adenomyosis Look Like?
Initially, your physician will conduct a pelvic examination to inspect your vulva, vagina, and cervix for any irregularities. In many instances, comprehensive and accurate adenomyosis diagnosis necessitates imaging tests. Transvaginal ultrasound (TVUS) and/or magnetic resonance imaging (MRI) may be employed by your doctor for this purpose. Adenomyosis is typically situated in the fundus of the uterus, often observed in the posterior wall. The characteristic presentation is an enlarged, asymmetrical uterus featuring small myometrial cysts and a “junctional zone” thickness of at least 12mm. Adenomyosis manifests in two forms: diffuse, dispersed throughout the uterus, and focal, also known as adenomyoma, affecting a confined area.
How Can I Tell If I Have Adenomyosis vs. Uterine Fibroids?
Adenomyosis may be mistaken for uterine fibroids, benign tumours that can develop within or on the uterus. However, these are distinct conditions sharing some symptoms but differing in their nature and treatment approaches. Unlike fibroids, which are muscular tumours growing individually or in clusters, adenomyosis is an ill-defined mass of cells situated within the uterine wall. Symptoms unique to adenomyosis, as opposed to fibroids, include prolonged menstrual bleeding, persistent pelvic pain, leg discomfort, and the presence of blood clots in the pelvis and legs. To accurately determine whether you have adenomyosis or fibroids, it is recommended to undergo a diagnosis by a physician.
Can Adenomyosis Be Cured, or Is It a Lifelong Condition?
The sole definitive remedy for adenomyosis is a hysterectomy, which involves the complete removal of the uterus. Nevertheless, a significant number of women with this condition observe a reduction or complete cessation of symptoms following menopause. The choice of treatment is typically contingent on the severity of symptoms and proximity to the menopausal stage.
Is Adenomyosis a Form of Cancer?
Fortunately, adenomyosis is a prevalent and benign (noncancerous) condition, devoid of the risk of causing or leading to cancer. The likelihood of cancer developing from adenomyosis is exceedingly rare, occurring in only 1% of cases and typically in older individuals.