Adenomyosis is a condition where the lining of the womb is found deep in the myometrium (muscle of the uterus).
We do not know exactly why this happens but it is not an infection, not contagious and is not cancerous
Heavy, painful or irregular periods
Pre-menstrual pelvic pain and feelings of heaviness/discomfort in the pelvis
Pain during penetration
Pain when pooing
Wait & Watch
Doing nothing if symptoms are mild, you are trying for a pregnancy or nearing menopause (menopause stops symptoms of adenomyosis)
Hormone Treatment
If you have no history of blood clots/stroke - a progesterone IUD (coil) may be offered, since it has been found that a low level slow release of progesterone can ease the symptoms of adenomyosis, and can improve irregular bleeding and potentially avoid the need for a hysterectomy. Tranexamic Acid a blood clotting agent is also given to help with conditions such as adenomyosis to assist with conditions that are created and worsened with blood haemorrhaging
Uterine Artery Embolisation
A small surgery where tiny particles are used to block the bloodvessels that provide blood flow to the adenomyosis. The particles are guided through a tiny tube inserted into the vagina through the cervix. With blood supply cut off, the adenomyosis shrinks. It’s usually an outpatient procedure (you’ll go home the same day)
Endometrial Ablation
A small surgery where this minimally invasive procedure destroys the lining of the uterus. Endometrial ablation has been found to be effective in relieving symptoms in some patients when adenomyosis hasn't penetrated deeply into the muscle wall of the uterus
