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Last Updated: Sep 03, 2019
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Adenomyosis - Symptom, Treatment And Causes

What is Adenomyosis? What causes Adenomyosis? How to diagnose adenomyosis? What are the treatment options for adenomyosis? What is the difference between endometriosis and adenomyosis? How to get pregnant with adenomyosis? How to cure adenomyosis? What is the best diet for adenomyosis? What are the home remedies for adenomyosis?

What is Adenomyosis?

Adenomyosis is a condition whereby the endometrium, which is the inner lining of the uterus, break through the myometrium, the muscle wall of the uterus. This condition creates lower abdominal pain, along with severe menstrual cramps, bloating before the menstrual period often leading to heavy bleeding. Adenomyosis can happen in one place inside the uterus or even happen throughout in the uterine sack.Though this condition is not life-threatening, but the frequent pain and heavy bleeding that occurs because of this illness, can have a benign negative impact on a women’s life.

What causes Adenomyosis?

Ademomyosis is a common ailment that often occurs in women who are in their middle age and have children. It is also believed that women who had uterine surgery in the past are also at a risk of developing this agonizing malady.Although, doctors are at a loss in finding out the real cause behind the development of this disease, nevertheless, it is believed that several hormones (like prolactin, estrogen, progesterone and follicle stimulating hormones) can trigger this disease.

In the past, the only way to diagnose this disease was by performing a hysteroscopy on the patient, to examine the uterine tissue after visualizing it under a microscope. Nowadays, with development in biomedical science, this disease can be diagnosed even without any surgery. So, in the modern times, using a transvaginal ultrasound or a MRI, doctors can view the condition of the patient’s uterus with the help of state-of-art imaging technology.

How to diagnose adenomyosis?

These are following ways to diagnose adenomyosis:

  1. A pelvic exam is done to reveal enlarged and tender uterus
  2. Ultrasound of uterus
  3. MRI of uterus
  4. In some cases, uterine tissue samples are also collected to verify if there is any abnormal uterine bleeding is not associated with any other serious condition.
  5. Other diseases related to uterine can also have symptoms related to adenomyosis, due to which it is hard to diagnose. The conditions are fibroid tumours, growing up of uterine cells outside the uterus.

What are the treatment options for adenomyosis?

These are the treatment options for adenomyosis include:

  1. Anti-inflammatory drugs: Anti-inflammatory medicines such as ibuprofen is recommended by your doctor. This medicine reduces menstrual flow and also helps in relieving pain.
  2. Hormone medication: birth control pills with combined estrogen-progestin or less the amount of heavy bleeding and might help in soothing the pain.
  3. Hysterectomy: this is done when your uterus is having pain and does not get rid of heavy bleeding then surgery is suggested for the removal of the uterus.
  4. Endometrial ablation and uterine artery embolism are also done to adenomyosis patients, which calls for minimally invasive surgery.

What is the difference between endometriosis and adenomyosis?

Adenomyosis Vs Endometriosis :

Inside Vs Outside:

If it is endometriosis then the lining of the womb or uterus spread out of it and can even hamper the organs which are near it like ovaries, fallopian tube, and bladder. If there is endometriosis then there can be a problem in getting pregnant whereas if it is adenomyosis then the damage occurs in the deep lining of the mucous wall of the uterus and results in the thickening of it. Thus causing internal endometriosis.


In endometriosis, there is belly pain whereas in adenomyosis there is a pain in bladder and rectum. Any of them may lead to adenomyosis from menstrual bleeding.


Endometriosis can also be checked through ultrasound or with an MRI also whereas in adenomyosis the results might not be diagnosed without doing a hysterectomy.

How to get pregnant with adenomyosis?

The patient with adenomyosis could be treated using therapies, either medical or surgical, to improve the live birth outcomes. In most cases, a combination of these two is implemented because of more chances of retaining fertility during this combination course. GnRH-a (Gonadotropin-releasing hormone agonist), exert an antiproliferative property, promotes apoptosis and reduces anti-inflammatory and angiogenesis effects.

One more methodology which is nowadays is most famous among patients having adenomyosis and want to conceive is HIFU. High-Intensity Ultrasound Ablation (HIFU) is a non-invasive thermal ablation technique. It is the most promising technique for promoting fertility preservation.

How to cure adenomyosis?

Hysterectomy or the removal of the uterus is the one and only definite cure for adenomyosis but this is done under the significant circumstances.

What is the best diet for adenomyosis?

Foods to avoid in adenomyosis diet:

  1. Alcohol, cigarettes, coffee as it results in abnormal menstrual periods
  2. Very much sweet and salty food must be avoided
  3. Acidic foods like pickles, mango, apricots, plums, lemons, cheery, rice vinegar, should not be consumed.
  4. Eating spicy food can result in pelvic congestion and inflammation thus chillies, peppers, garlic, onion must be avoided.

Foods to eat in adenomyosis diet:

  1. Food must include milk products, salads, fruits, vegetables, berries, whole grain cereals
  2. There must be an intake of 1.5 litres of liquid throughout the day which can include water, orange juice, and raspberry juice.
  3. Protein must be included in the diet to improve the immune system
  4. Omega-3 rich food like fish oil, pumpkin seeds, and walnuts must be included

What are the home remedies for adenomyosis?

These are the home remedies for adenomyosis:

  1. Ginger: It is full of gingerols which is one of the most powerful antioxidants which is also acting as anti-inflammatory agents and helps to keep the functions of uterus normal. Menstrual pain also gets reduces with the help of ginger.
  2. Turmeric: It is full of curcumin which helps in reducing the inflammation in the uterus, thus regulating menstrual bleeding.
  3. Calcium and Magnesium: Foods which are rich in these two balance the menstrual process. Which helps in reducing the symptoms and severity of the disease.

Popular Questions & Answers

Hello doctor,I am suffering from adenomyosis. Doctor has advised me for operation for the removal of uterus. So, I want to know that if I perform operation after 9 months then is there any problem? Or there are chances of any other problem. please help.

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Delaying operation for 9 months will not cause any problem ,but you will be suffering from pain (dysmenorrhea) and menorrhagia (increase bleeding) for 9 more months. You can go for mirena insertion for the time being.
3 people found this helpful

I want to clarify some doubt regarding cancer. One of My relative undergone to remove the Uterus. After that CT 125 was done.In Histopatholy report mentioned as Poorly differentiated carcinoma with signet cells metastatic to both ovaries showing tumour emboli in the myometrium , Uterus shows superficial adenomyosis with papillary endocervicitis .Bilateral fallopian tubes are unremarkable. For these case Which method/kind of treatment is best ?

MBBS, MD - Medicine, MD - Oncology, Fellow of the Royal Society of Tropical Medicine and Hygiene (FRSTM & H)
Oncologist, Delhi
Dear, in this case uterous along woth both ovaries and fallopian tubes needed to be removed. This should be followed by pet scan to rule out outside pelvic metastasis. If pet is normal you have to undergo radiation therapy which is by twle aswel a...
11 people found this helpful

I am female aged 44 yrs, having being diagnosed as Adenomyosis on USG scan, my complaints are heavy menstrual flow on day 1.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, Fellowship in Assisted Reproductive technology, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Noida
Hello, heavy menstrual flow on 1-3 days of menses is fairly normal unless it continues to 4-5th day of bleeding and adenomyosis has been the cause detected then you can actually opt for antifibrinolytics to reduce your flow. Please follow up.
3 people found this helpful

My wife is 46yrs old. She is suffering with Adenomyosis for which extra bleeding occurs during the period. Is there any home or any pathy treatment without operation?

Gynaecologist, Chennai
Dear as she is nearing to menopause, after ruling out contraindications, she can take combine oral contraceptive pill, or only progesterone pill or progesterone intrauterine device. One regular check up with full examination, blood pressure, liver...
2 people found this helpful

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MS - Obstetrics and Gynaecolog,PG Diploma in IVF & Reproductive Medicine,Advanced Infertility & ART trainin,MBBS,Diploma in Minimal Access Surgery
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