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Adenomyosis: A uterine problem

Edenomyosis can produce a mass or tumor inside the uterus, called Adenomyoma. The disease usually occurs in women over 30 years of age who have had children.

What is Adenomyosis?

Adenomyosis or internal endometriosis is a uterine thickening that occurs when the endometrial tissuewhich normally lines the uterus, sand passes to its external muscular walls. This condition must be diagnosed and treated as soon as possible by a Gynecologist.


The cause is unknown. Sometimes Adenomyosis can produce a mass or Tumor inside the uterus, called Adenomyoma. The disease usually occurs in women over 30 years old who have had children.

Specific symptoms

  • Heavy menstrual bleeding or prolonged and uncontrolled
  • painful menstruation that progressively worsens
  • Pelvic pain during sexual intercourse
  • Pelvic pain chronic

It is important to look for a Gynecology specialist when any of these symptoms are detected.

How to detect it?

During a pelvic examthe doctor may find an enlarged and slightly softened uterus. The exam may also reveal a mass or tenderness in the womb.

A Ultrasound of the Uterus can help differentiate between Adenomyosis and other Uterine Tumors. An MRI is useful when ultrasound does not provide definitive results.


Most women have some Adenomyosis as they approach the Menopausebut few women have symptoms and most do not require any treatment.

In some cases, pain relievers may be needed. Birth Control Pills and a Intrauterine device (IUD) qcontaining progesterone can help reduce heavy bleeding.

In some cases, a Hysterectomy (removal of the uterus or womb) may be necessary in women with severe or constant symptoms that have not improved with medical treatment.

Expectations after treatments

A hysterectomy completely relieves the symptoms, which can usually disappear after Menopause.