Recognizing Symptoms of Adenomyosis
Adenomyosis often affects women in their 30s and 40s who have had children. Symptoms include:
- Abnormally heavy or prolonged menstrual bleeding (menorrhagia)
- Severe, knife-like pelvic pain or cramping during menstruation (dysmenorrhea)
- Chronic lower abdominal pressure and bloated feeling ('balky' enlarged uterus)
- Pain during sexual intercourse
- Passing blood clots during menstrual periods
Diagnostic Evaluation
Adenomyosis is diagnosed via pelvic clinical examination revealing a globular, tender uterus, combined with High-Resolution Pelvic Ultrasound showing asymmetrical uterine wall thickening, myometrial cysts, or heterogeneous echotexture.
Medical & Minimally Invasive Options
Treatment ranges from tranexamic acid/NSAIDs for symptom control to hormone therapy (LNG-IUS / Mirena insertion, oral progestins) which significantly reduces menstrual blood loss and pain without surgical hysterectomy.


