The health care provider will make the diagnosis if a woman has symptoms of adenomyosis that are not caused by other problems. The only way to confirm the diagnosis is by examining the tissue of the uterus after a hysterectomy.
During a pelvic exam, the doctor may find a soft and slightly enlarged uterus. The exam may also reveal a uterine mass or uterine tenderness.
An ultrasound of the uterus may help tell the difference between adenomyosis and other uterine tumors. MRI can be helpful when ultrasound does not give definite results.
Most women have some adenomyosis as they get close to menopause. However, only a few will have symptoms. Most women do not need treatment.
Birth control pills and a progesterone-containing intrauterine device (IUD) can help decrease heavy bleeding. Anti-inflammatory medication such as ibuprofen or naproxen can also help manage symptoms.
A hysterectomy may be necessary in women with severe symptoms.
Symptoms most often go away after menopause. A hysterectomy completely relieves symptoms.
When to Contact a Medical Professional
Call your health care provider if you develop symptoms of adenomyosis.
Meredith SM, Sanchez-Ramos L, Kaunitz AM. Diagnostic accuracy of transvaginal sonography for the diagnosis of adenomyosis: systematic review and meta analysis. Am J Obstet Gynecol. 2009;201:107.e1-6. PMID: 19398089 www.ncbi.nlm.nih.gov/pubmed/19398089.
Cynthia D. White, MD, Fellow American College of Obstetricians and Gynecologists, Group Health Cooperative, Bellevue, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.