What should you know about features of adenomyosis?

Adenomyosis may present with Heavy Periods, Painful Periods or aching Pelvic Pain. Some people feel pressure, bloating or tenderness low in the abdomen; others have few or no symptoms. The womb can become enlarged or tender, and symptoms may affect daily activities, sex or energy when bleeding is substantial. These features overlap with fibroids and endometriosis, so symptoms alone do not establish the cause.

Keep a record of bleeding, pain, cycle timing and impact on work or sleep, then arrange a gynaecology review. Assessment can include an examination and pelvic imaging. Treatment is shaped by symptom severity, plans for pregnancy and whether you want to preserve the womb. Options may include a Hormonal Coil, medicines for pain or bleeding, Endometrial Ablation, Uterine Artery Embolisation or Hysterectomy. Each option has different effects on fertility and bleeding, so discuss those consequences before deciding.

Arrange prompt review if bleeding is becoming heavier, pain is worsening, or fatigue, dizziness or breathlessness develops, as these can occur with blood loss. Seek urgent help for bleeding that is difficult to control, fainting, severe sudden pelvic pain or possible pregnancy with significant pain or bleeding.

Ask how adenomyosis was identified, whether anaemia should be checked, which treatment suits your pregnancy plans, and how long to try an option before reviewing its effect. Ask specifically about recovery and fertility implications for any procedure.