Adenomyosis Symptoms, Diagnosis & Treatment Options

Adenomyosis is a condition where the tissue that normally lines the uterus grows into the muscular wall of the uterus. This problem causes discomfort and other health issues in the body.

Adenomyosis symptoms may look like normal period problems at first. However, they can become more painful over time. There are many women who feel strong cramps, heavy bleeding, and constant tiredness and this can affect their everyday life. That’s why it’s important to understand what these symptoms are and when to seek help.

At RISAA IVF, Dr. Rita Bakshi (Senior IVF Specialist and Gynaecologist) has helped many women to manage adenomyosis with care and expertise. In this blog, we will talk about the symptoms, how adenomyosis is diagnosed, treatment options and more.

What is Adenomyosis?

Adenomyosis is a condition that affects the uterus (womb). In this condition, the tissue that normally lines the inside of the uterus (called the endometrium) starts to grow into the muscle wall of the uterus. This unusual growth can make the uterus bigger and can cause heavy periods, pain, and other problems.

This condition mostly affects women in their 30s and 40s, especially those who have had children. However, it’s important to know that it is not life-threatening but can impact your daily life and may also make it difficult to get pregnant. Adenomyosis is often confused with other conditions like fibroids or endometriosis. However, it is a different issue and needs its own treatment guidance.

Adenomyosis Symptoms

Adenomyosis symptoms can vary from person to person. There are some women who may have strong signs and there are others who might not feel anything unusual. In many cases, the symptoms are related to pelvic pain and heavy bleeding.

Here are some common symptoms of adenomyosis:

• Heavy periods – Your bleeding may last longer than usual and can feel difficult to manage.
• Severe menstrual cramps – Pain during periods can be intense and may get worse over time.
• Pelvic pain – There are some women who feel a constant dull ache or pressure in the lower belly.
• Bloating or a feeling of fullness – The uterus may become enlarged and can cause discomfort.
• Pain during intercourse – Some women may also experience pain during or after sex.
• Tiredness and weakness – Heavy bleeding can lead to low iron levels (anemia) and this can make you feel tired.

Adenomyosis Causes

Other than the Adenomyosis symptoms, there are some causes also. However, the exact cause of adenomyosis is still not fully clear, but doctors and researchers believe that several factors can play a role.

Here are some possible causes of adenomyosis:

• Hormonal changes – Hormones like estrogen can affect the condition or make it worse.
• Uterine injury – Surgery such as a C-section or dilation and curettage (D&C) might lead to changes in the uterine wall.
• Childbirth – Some experts think that changes during pregnancy and delivery may allow the endometrial tissue to move into the muscle wall.
• Developmental issues – In some women, the tissues may have grown abnormally before birth.
• Age and menstrual history – It is more common in women aged 35–50 or those who have had many periods.

How is Adenomyosis Diagnosed?

This issue can be difficult to diagnose because Adenomyosis symptoms are similar to other health conditions like fibroids or endometriosis. However, doctors know about your medical history, symptoms, and tests to find out if you have adenomyosis.

Here’s how it is usually diagnosed:

• Medical history and symptoms – The doctor will ask about your period pattern, pain levels, and any past pregnancies or surgeries.
• Pelvic exam – The doctor may feel for an enlarged or tender uterus.
• Ultrasound – This is a common test that uses sound waves to create images of your uterus and check for signs of adenomyosis.
• MRI (Magnetic Resonance Imaging) – This scan gives a clearer view of the uterus and helps confirm the diagnosis if the ultrasound isn’t clear enough.
• Biopsy (rarely used) – In most cases, a tissue test is not needed unless other conditions are suspected.

How Adenomyosis Affects Fertility?

Adenomyosis can affect a woman’s ability to get pregnant in different ways. When the lining of the uterus grows into the muscle wall, it can cause the uterus to become larger and inflamed. This may make it difficult for an embryo to attach and grow properly.

The condition can also cause changes in the uterus that affect blood flow and create a less healthy environment for a pregnancy to develop. Sometimes, adenomyosis may lead to heavier periods and pain. This can also interfere with regular menstrual cycles and ovulation.

However, it’s important to know that adenomyosis doesn’t always cause infertility. But it can make it difficult to get pregnant for some women. If you are facing challenges with fertility and have symptoms of adenomyosis then it’s important to consult a specialist who can guide you with the right treatment options. You can also consult Dr. Rita Bakshi, senior fertility specialist & gyneacologist at RISAA IVF.

Adenomyosis Treatment

The treatment varies based on how severe the Adenomyosis symptoms are and whether a woman wishes to preserve her fertility. Mild symptoms can often be managed with simple methods but more severe cases may need advanced treatments. Here are some common treatment options:

• Pain relief medicines to ease cramps and discomfort
• Hormonal therapy to regulate periods and reduce heavy bleeding
• Hormone-releasing intrauterine devices (IUDs) to control symptoms
• Injections to lower hormone levels and reduce tissue growth
• Surgery to remove affected areas if needed
• Hysterectomy (removal of the uterus) as a last option for severe cases

Living with Adenomyosis: Tips for Relief

There are simple ways to reduce the Adenomyosis symptoms and improve daily life. It’s important to make small changes in habits and lifestyle to reduce pain and discomfort. So, here are some tips that might help:

• Use a warm heating pad on your lower belly to relieve cramps
• Try gentle exercises like walking or yoga to improve blood flow and reduce pain
• Eat a balanced diet with plenty of fruits and vegetables to support overall health
• Avoid too much caffeine and alcohol because this can worsen Adenomyosis symptoms
• Get enough rest and manage stress through relaxation techniques
• Talk openly with your doctor about your symptoms and any discomfort

Final Words:

Adenomyosis symptoms can greatly affect a woman’s daily life and fertility and this can make it important to understand this condition. In this blog, we have covered what adenomyosis is, its causes, symptoms, how it affects fertility, diagnosis methods, and available treatments. So, it’s important to know these details to make better choices for your health.

At RISAA IVF, Dr. Rita Bakshi (Senior IVF Specialist and Gynaecologist) has helped many women manage adenomyosis symptoms with personalized care and effective treatments. If you are experiencing symptoms or have questions about fertility, please reach out to us. Call 95555 44421/22/23 or email [email protected] for expert support.

Frequently asked questions (FAQs)

• Can adenomyosis be cured?

Adenomyosis cannot be fully cured, but its symptoms can be managed with treatments like medicines or surgery to reduce pain and heavy bleeding.

• Will adenomyosis go away?

Adenomyosis usually does not go away on its own. Symptoms may improve after menopause, but medical help is often needed to control discomfort and other issues.

• What foods reduce adenomyosis?

Eating anti-inflammatory foods like fruits, vegetables, whole grains, and healthy fats may help ease adenomyosis symptoms. Avoiding processed and fatty foods can also be beneficial.

• What is the most common symptom of adenomyosis?

The most common symptom is heavy and painful menstrual bleeding. Women may also experience cramps and discomfort during their periods.

• Is walking good for adenomyosis?

Yes, walking and gentle exercise can help reduce pain and improve overall well-being. Staying active supports better blood flow and helps manage symptoms.

• Can I get pregnant with adenomyosis?

Getting pregnant with adenomyosis can be harder for some women, but many do conceive naturally or with fertility treatments. Consulting a specialist can help plan the right care.