Adenomyosis is a very common condition where the glands from the lining of the uterus grows into the muscle of the uterus. These glands inside the muscle of the uterus produce bleed as they would during the menstrual cycle and cause the uterus to appear on ultrasound and MRI spongy and boggy. The blood inside the muscle causes pain and heavy bleeding and blood clots during menstruation. Adenomyosis also may cause the uterus to be sore and so cause pain with intercourse and at times create feeling of heaviness and fullness in the lower abdomen. This condition many times is confused with fibroid uterus. Fibroid tumors and adenomyosis can be present together at the same time.
Diagnosis can generally be made by an ultrasound examination in the office and obtaining a good history and a detailed physical exam. MRI can be helpful in some situations.
Treatment options are usually hormonal but many outpatient surgical treatment options are also available to control the heavy bleeding and pain.
Dr. Tahery is an expert in ultrasound evaluation of adenomyosis and has devised treatment plans that have been very successful in relieving its debilitating symptoms.