What should you know about adenomyosis espa ol?

In adenomyosis, tissue similar to the uterine lining grows into the muscular uterine wall. It responds to hormonal changes during the cycle, which can make the uterus tender and contribute to cramping. Some people have few symptoms; others notice pain that spreads into the back or legs, fullness in the pelvis, or discomfort with intercourse. Symptoms can overlap with fibroids, endometriosis, and other causes, so they do not establish a diagnosis on their own. Explore [Adenomyosis](/conditions/adenomyosis/) and [Painful Periods](/symptoms/painful-periods/).

Record when pain and bleeding start, how long they last, and which activities are affected. At an appointment, describe pregnancy plans, contraception, previous uterine procedures, and medicines. Assessment may include an examination and pelvic imaging. Depending on your needs, treatment conversations can include a [Hormonal Coil](/treatments/contraception-and-family-planning/hormonal-coil/) or other medical and surgical options.

Seek medical advice for bleeding that is newly heavy, pain that steadily worsens, bleeding between periods, or pain during sex. Seek urgent help for fainting, severe weakness, sudden severe pain, fever, or bleeding that is difficult to control.

Ask what the likely causes are, whether an ultrasound is useful, how symptoms may affect fertility, and when to review the treatment plan.