AdenomyosisTreatmentinHyderabad
Written & medically reviewed by Dr. Shaivalini Kamarapu
MBBS · MS (Obstetrics & Gynaecology) · Fellowship in Reproductive Medicine · 20+ years of clinical experience
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Whatisadenomyosis?
Adenomyosis occurs when the inner lining of the uterus (the endometrium) breaks through into the muscle wall (the myometrium). In a healthy uterus, there's a clear boundary between these two layers — in adenomyosis, that boundary blurs, often leading to an enlarged, "bulky" uterus along with swelling and discomfort. Not every bulky uterus means adenomyosis, though, so an accurate diagnosis needs a proper evaluation rather than assumption from symptoms alone.
Adenomyosis vs. endometriosis
The two conditions are often confused. In adenomyosis, endometrial tissue grows into the muscular wall of the uterus itself. In endometriosis, similar tissue grows outside the uterus entirely. Both can cause pain and irregular periods, but they differ in treatment approach and in how they affect fertility.
Symptomsofadenomyosis
Heavy or prolonged menstrual bleeding
Severe menstrual cramps
Pain during intercourse
An enlarged uterus
Whoismorelikelytogetadenomyosis?
Age
Most commonly diagnosed in women in their 40s and 50s, though it can occur in anyone who has had menstrual periods.
Childbirth
Women who have given birth, particularly multiple times, appear to carry a higher risk — possibly linked to uterine inflammation during childbirth.
Prior uterine surgery
Procedures like a C-section or fibroid removal can disrupt the boundary between the endometrium and myometrium.
Endometrial procedures
Procedures affecting the endometrium, such as dilation and curettage (D&C), are sometimes associated with higher risk.
Hormonal factors
Excess oestrogen — from conditions like obesity or hormone replacement therapy — may play a role in development.
Having one or more of these risk factors doesn't guarantee adenomyosis will develop — many women with several risk factors never do, and some with none still develop the condition. Regular check-ups and open conversation with your doctor remain the best path to early detection.
Diagnosis
Ultrasound and MRI are the main imaging tools used to visualise the structure of the uterus and identify adenomyosis — including focal adenomyosis, a more localised form of the condition.
Treatment
Treatment is tailored to symptom severity and reproductive plans, ranging from pain management and hormonal therapy to surgical options — decided collaboratively between gynaecology and radiology specialists based on each patient's individual case.