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Ask Online Doctors Health Blog | All posts tagged 'Adenomyosis'


by Dr.Saurabh Joshi,MD 22. February 2011 14:05

 Adenomyosis is a general enlargement of the uterus due to overgrowth of the myometrium in which there is a benign invasion of endometrium.  Adenomyosis is commonly seen in women between the ages 35 -50. This is because most women at this age secrete excess estrogen but less progesterone that is needed as an antagonist of estrogen. Painful menstrual cycle is the major characteristic of the disease.


It still yet not clear what causes adenomyosis, but many have though that it must been because of trauma in the uterus either during caesarean section, abortion, tubal ligation and  accidents.


  • Blood clots in menstrual blood
  • Women have prolonged menstrual period
  • During menstrual period women feel extremely pain
  • Tender lower abdomen
  • A lot of pressure is exerted to the pelvic because of an enlarged uterus
  •  On feeling, the uterus is tender
  • Women pass blood clots
  •  There is excessive bleeding during menstrual cycle
  • Menstrual crump usually sets in  and last till the old age
  • Women feel pain during sexual intercourse
  • Enlarged lower abdomen
  • In between the period there is bleeding
  • Uterus always enlarge



An ultrasound and transvaginal are carried out to check on the uterus. The doctor will see an enlarged uterus. The uterus will also have a texture that is heterogeneous and not showing the focal masses. Magnetic resonance sound is considered to be the best diagnostic tool, because it is able to differentiate soft tissues. The ultrasound may not be suitable where the uterine fibroid is calcified but magnetic resonance sound is thought to be the best. The doctor will carry out pelvic examination to ascertain the enlargement of uterus and its tenderness.

In some instance, the doctor my take a biopsy just to rule out any other cause of the bleeding, but it won’t be a diagnostic test for Adenomyosis. Blood test may be requested to check on the hemoglobin level as monitor to how much blood the patient has lost.



Adenomyosis will cease after menopause. The years you have to reach menopause will determine your treatment. Treatment involve the use of; hormones, anti-inflammatory drugs, and surgical removal of the uterus.

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About the author

Dr.Saurabh Joshi,MD  is a medical doctor offering live advice online. He is a partner in a Medical Private Practice and can answer questions related to almost all medical specialties.

He can be contacted for a Live Onine Consultation HERE