Adenomyosis — Specialist Diagnosis and Treatment

Adenomyosis is a condition where tissue similar to the womb lining grows into the muscular wall of the uterus. This causes the uterus to enlarge and can result in heavy, painful periods and chronic pelvic pain. It is a common condition that can occur on its own or alongside endometriosis and fibroids.

Adenomyosis can now be accurately diagnosed using transvaginal ultrasound and MRI, without the need for surgery. Prof Mahmood uses specialist imaging assessment to identify the characteristic features of adenomyosis and to exclude other conditions.

No. While both conditions involve tissue similar to the uterine lining, in adenomyosis the tissue grows into the muscular wall of the uterus, whereas in endometriosis it grows outside the uterus. The two conditions frequently coexist and can cause similar symptoms, but they are distinct conditions requiring different management strategies.

Yes. Many patients can be effectively managed with medical treatment such as the Mirena coil, hormonal therapies, and pain management. In selected cases, adenomyomectomy (surgical excision of adenomyosis while preserving the uterus) may be an option. Hysterectomy is considered for severe cases that have not responded to other treatments.

Adenomyosis may affect fertility and has been associated with reduced implantation rates and an increased risk of miscarriage. However, many women with adenomyosis conceive successfully. Prof Mahmood will discuss the potential impact on fertility and appropriate management options during the consultation.

Adenomyosis is an oestrogen-dependent condition, and symptoms typically improve after menopause as oestrogen levels decline. For women who are premenopausal and experiencing significant symptoms, effective treatment options are available to manage the condition until menopause occurs naturally.