Adenomyosis: Do I have this?

What in the world is adenomyosis?  I didn’t know what is was until I received the diagnosis.  It is a condition in which the inner lining of the uterus breaks through the muscle wall of the uterus.  I know the definition doesn’t say much so let’s talk about symptoms.  Adenomyosis can cause heavy bleeding, severe menstrual cramping, lower abdominal pressure, bloating, and pain during intercourse.  The heavy bleeding can cause anemia which comes with its own set of symptoms. 

The condition and its current definition were coined in 1972.  However, diagnosing of the condition improved with technological advances such as the transvaginal ultrasound and MRI.  Nevertheless, adenomyosis is still often times misdiagnosed for fibroids because of the enlargement of the uterus and the formation of a mass called an adenomyoma.  This condition is often treated as any other reproductive issues with birth control and surgery.  Research does suggest that adenomyosis is associated with poor pregnancy outcomes such as increased risk of preterm delivery, preterm premature rupture of membranes, and fetal growth restriction.  Gabrielle Union has shared her experience with adenomyosis and its role on her fertility (https://www.essence.com/celebrity/gabrielle-union-fertility-adenomyosis/).  However, additional research is needed in this area to determine what type of relationship exists between the condition and fertility. Women who have had previous surgery of the uterus (C-section or fibroid removal) are at a greater risk for developing adenomyosis.

The information shared here is only to inform not to diagnose.  If what is shared seems oddly familiar to you, you may want to:

1.      Research this condition in more detail

2.     Discuss your symptoms and the symptoms presented in the condition with your doctor

3.     Ask for the diagnostic tests to determine if this is the cause for your condition.

Richelle Whittaker