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Adenomyosis

Adenomyosis is a benign (non-cancerous) condition where the lining of the uterus grows into the muscular wall of the uterus). This can cause the uterus to become enlarged, tender, and heavy.

Symptoms Treatment Find A Specialist

Adenomyosis is not a life-threatening condition, but it can cause troublesome symptoms that affect daily life and wellbeing.

Some people with adenomyosis have no symptoms at all. However, when symptoms occur, they may include -

  • Heavy or prolonged menstrual bleeding 

  • Severe period pain (dysmenorrhoea) 

  • Pelvic pain or pressure 

  • Bloating or abdominal discomfort 

  • Pain during intercourse 

  • An enlarged, tender uterus (sometimes felt as a lump in the lower abdomen) 

 Symptoms often improve after menopause when periods stop. 

Adenomyosis Treatment

Treatment depends on the severity of symptoms, your age, and whether you wish to have children in the future.

Adenomyosis is not cancerous and does not increase the risk of cancer but symptoms can have a significant impact on quality of life. Surgery may be considered when other options are not effective or appropriate. 

Our specialist gynaecology team are experienced in the diagnosis and treatment of adenomyosis. We will assess your symptoms, explain your options clearly, and support you in choosing the most appropriate treatment to improve your comfort and quality of life. 

Observation

If symptoms are mild, no immediate treatment may be needed. Regular monitoring and simple pain relief can be enough.

Medication

Anti-inflammatory medicines or hormone-based treatments (such as oral contraceptives, hormonal coils, or progesterone therapy) may help control heavy bleeding and reduce pain.

Minimally Invasive Procedures

Options such as uterine artery embolisation can reduce blood supply to the uterus and relieve symptoms in some cases.

Surgery

If symptoms are severe or do not respond to other treatments, hysterectomy (surgical removal of the uterus) may be recommended. This is the only definitive cure for adenomyosis and is carried out by a gynaecologist. 

Find A Specialist

View All Staff

  • Dr Kate van Harselaar

    Gynaecologist