Adenomyosis

What Is Adenomyosis?

Adenomyosis refers to a gynaecological ailment in which the inner lining of the uterus, known as endometrial tissue, extends into the muscular wall of the uterus. This tissue undergoes thickening, breakdown, and bleeding during the menstrual cycle, leading to the enlargement of the uterus to two or three times its typical size. The associated menstrual cramps and bleeding typically surpass the intensity of a regular menstrual period.

This disorder impacts the reproductive system and typically manifests during the years of childbearing, and occasionally extends beyond that period. The majority of diagnoses are made in women aged 32-38. Those who have experienced at least one full-term pregnancy face an increased likelihood of developing adenomyosis. It is frequently mistaken for uterine fibroids, despite the distinction between the two conditions.

Symptoms Of Adenomyosis

The indications of adenomyosis may commence with mild and inconspicuous manifestations, progressing in intensity, thereby impacting menstrual patterns, fertility, and overall well-being. Approximately one-third of women may remain asymptomatic. Conversely, in some instances, the symptoms can be markedly distressing and incapacitating. Typical signs of adenomyosis include:

Symptoms Of Adenomyosis

Risk Factors of Adenomyosis

While the precise cause of adenomyosis remains uncertain, it is predominantly observed in women in the later stages of their childbearing years, typically between the ages of 35 and 50. Other factors that might elevate the risk of developing adenomyosis include:

Common Risk Factors:

Adenomyosis Causes

Initiating the diagnosis of adenomyosis involves arranging an appointment with your OBGYN, who will conduct a medical history review and perform a physical and pelvic examination. If there is any tenderness or a slight enlargement of the uterus detected, additional testing may be considered by your doctor. Distinguishing adenomyosis from other reproductive tract conditions can be challenging due to similar symptoms. Physicians at fibroid clinics excel in the diagnosis and treatment of adenomyosis, utilizing advanced technology and techniques, including:

Common Causes:

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Adenomyosis Vs. Uterine Fibroids

Distinguishing between adenomyosis and uterine fibroids can be perplexing. Adenomyosis involves the growth of endometrial tissue into the muscular wall of the uterus, while uterine fibroids are benign tumours comprising fibrous tissue and smooth muscle cells that develop within or on the uterine walls. Both conditions commonly manifest during a woman's childbearing years and exhibit similar symptoms, including heavy menstrual bleeding and pain. Fibroids come in a range of sizes, spanning from the dimensions of a pea to as large as a melon, and they can develop either individually or in groups. These growths possess the capability to harm adjacent organs, and both fibroids and adenomyosis can have implications for fertility. If there's uncertainty about whether you are grappling with adenomyosis or uterine fibroids, maintaining a record of all your symptoms is vital. This record aids your doctor in delivering a precise diagnosis and ensures timely administration of appropriate treatment.

Adenomyosis Diagnosis

Initiating the diagnosis of adenomyosis involves arranging an appointment with your OBGYN, who will conduct a medical history review and perform a physical and pelvic examination. If there is any tenderness or a slight enlargement of the uterus detected, additional testing may be considered by your doctor. Distinguishing adenomyosis from other reproductive tract conditions can be challenging due to similar symptoms. Physician at Fibroid Clinic excel in the diagnosis and treatment of adenomyosis, utilizing advanced technology and techniques, including:

Diagnostic Tests & Screenings

Uterine Artery Embolization

Physicians at fibroid clinics provide top-notch and thorough care for individuals experiencing adenomyosis. They specialize in conducting Uterine Artery Embolization (UAE), a minimally invasive, image-guided procedure designed to alleviate the painful symptoms associated with adenomyosis. While UAE is commonly employed to address symptomatic fibroids, it has proven to be an effective treatment for women with adenomyosis as well. This procedure is performed in a secure and convenient outpatient setting, aiming to preserve the uterus and obviate the necessity for traditional surgery.

In the UAE procedure, an Interventional Radiologist at the fibroid clinic employs ultrasound guidance to introduce a needle and catheter into either the larger artery in the leg (femoral artery) or a small artery in the wrist (radial artery). The catheter is then threaded through the uterus, and embolic beads are injected into the uterine arteries to displace the endometrial tissue responsible for adenomyosis. As the procedure doesn’t require a hospital stay, you can return home a few hours after completion, and a complete recovery is typically anticipated within two weeks. Most patients report symptom relief and a return to normal menstruation between three and six months after the procedure.

What to Expect from Your Adenomyosis Treatment

Minimally invasive compared to conventional surgery

Uterus preservation

No hospital stay required

Relief from painful symptoms

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Adenomyosis FAQ

Adenomyosis is a gynaecological condition impacting the uterus, often causing confusion with uterine fibroids. Individuals with both adenomyosis and fibroids may encounter similar symptoms, leading to potential misdiagnosis or undiagnosed cases extending over months or even years. The physicians at the fibroid clinic are committed to delivering high-quality and efficacious care for women, ensuring they receive the treatment they rightfully deserve. For more information, explore our Frequently Asked Questions (FAQs) about adenomyosis.

What is the Difference Between Adenomyosis and Endometriosis?

Adenomyosis and endometriosis are distinct yet comparable conditions. The primary distinction lies in the location and manner of displacement of the endometrial tissue (endometrium). Endometriosis occurs when the endometrial lining is situated outside the uterus, whereas adenomyosis involves the growth of the uterine lining into the uterine muscle. Both conditions can result in highly painful periods and, in certain instances, contribute to infertility. Due to their similarities, it is common for patients to remain undiagnosed or receive inaccurate diagnoses for extended periods. Instead of enduring the pain, it is advisable to promptly discuss your symptoms with your doctor.

Why is Early Diagnosis of Adenomyosis Important?

Adenomyosis is a developing reproductive tract disorder, typically impacting women who have undergone childbirth at least once. Nevertheless, it can pose significant challenges for women attempting to conceive for the first time or subsequent times. Expectant mothers with adenomyosis face an elevated risk of miscarriage or preterm labour. Timely identification of the condition is crucial to proactively address and manage potential complications. To receive a diagnosis and appropriate treatment for adenomyosis, consider scheduling a consultation with a physician at Buffalo Fibroid Clinic today.

Can Adenomyosis Lead to Infertility?

Currently, researchers have not established whether adenomyosis by itself can result in infertility. Nonetheless, individuals with this condition commonly exhibit reduced fertility rates and, in certain instances, experience infertility. According to the Japan Society of Obstetrics and Gynaecology, adenomyosis may be associated with a miscarriage rate of 50%, a preterm birth rate of 24.4%, and a foetal retardation rate approaching 12%. Adenomyosis can impact a woman's capacity to conceive beyond the first child, and it frequently coexists with endometriosis, necessitating infertility treatments in some cases.

Are There Any Lifestyle Changes That Can Help Manage Symptoms of Adenomyosis?

Timely identification of adenomyosis is essential to secure optimal treatment for the condition. Treatment primarily centres on symptom management, addressing issues like pain and heavy bleeding. Consulting with a specialist is crucial to assess the suitability of surgery for your case. Meanwhile, implementing certain lifestyle adjustments can prove beneficial, including:
• Engaging in physical therapy
• Employing pain management strategies
• Considering birth control medication
• Adopting an anti-inflammatory diet
• Incorporating hormone-regulating supplements

How is Adenomyosis Different from Uterine Fibroids?

Adenomyosis and uterine fibroids exhibit comparable symptoms but are distinct conditions. Uterine fibroids are noncancerous growths that may form within or on the uterus, growing either individually or in clusters. In contrast, adenomyosis is an indistinct mass of cells situated within the uterine wall. In addition to causing heavy and painful periods, fibroids can induce symptoms related to their bulk, such as abdominal bloating, increased frequency of urination, and constipation.