How is adenomyosis treated?

Adenomyosis occurs when tissue similar to the womb lining grows into the muscular wall of the womb. It can contribute to heavy periods, painful periods and pelvic pain. Some people need symptom control only, while others need a longer-term treatment plan.

Hormonal treatment may lessen bleeding and period pain. Non-hormonal medicines can help with heavy bleeding or cramps when appropriate. Treatment should account for pregnancy intentions, contraception needs, other conditions and whether symptoms are affecting daily life.

A clinician may discuss tranexamic acid for heavy bleeding, hormonal options, or pain relief. Procedures such as uterine artery embolisation or endometrial ablation may suit some people, but their effect on future pregnancy and the womb needs careful discussion. Hysterectomy removes the womb and is a major definitive option for people who do not wish to become pregnant.

Keep a record of bleeding, pain, missed activities and medicine effects. This helps show whether treatment is helping and supports a shared decision about changing or combining options.

Arrange medical review for new or worsening heavy bleeding, persistent pelvic pain, pain during sex, or tiredness that may relate to anaemia. Seek urgent help if bleeding is soaking through protection repeatedly, you feel faint, or severe pain comes with fever, vomiting or possible pregnancy.

Ask which treatment matches your fertility plans, how quickly it may help bleeding or pain, what side effects to expect, whether your blood count needs checking, and when a procedure should be considered.