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Adenomyosis

Adenomyosis is a common co-condition of endometriosis and can be a huge source of pelvic pain. Adenomyosis is not the same disease as endometriosis (some people say it’s endometriosis of the uterus but it’s not). Adenomyosis is defined as the presence of endometrial-like glands and stroma found within the myometrium.

Adenomyosis can have overlapping symptoms with endometriosis, and for some people is a source of continued pelvic pain post-excision. Symptoms may include heavy menstrual bleeding, clotting, chronic pelvic pain, backache, fatigue, and more.

It is a myth that adenomyosis is only found in people in their 40s and older, or people who have had children. Adenomyosis can be found in younger people as well as those who have never been pregnant.

Signs of adenomyosis may (or may not) be seen on imagining, but negative imagining can not rule out adenomyosis. 

Unlike with endometriosis, a hysterectomy is a definitive treatment (cure) for the disease, as it is a disease of the uterus. For those not wanting a hysterectomy, they can try the levonorgestrel-IUD, birth controls, progestins, pain medications, etc. 

“LNG-IUDs are currently the best-evaluated and most efficacious treatment of adenomyosis-related symptoms with a high rate of symptom improvement, minimal side effects, and an improvement in the quality of life that is similar to that of a hysterectomy.” (1)

Sources

  1. Moawad G, Youssef Y, Fruscalzo A, Faysal H, Kheil M, Pirtea P, Guani B, Ayoubi JM, Feki A. The Present and the Future of Medical Therapies for Adenomyosis: A Narrative Review. Journal of Clinical Medicine. 2023; 12(19):6130. https://doi.org/10.3390/jcm12196130

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