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What are the Symptoms of Adenomyosis and How to Recognise them?

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Last updated: December 03, 2025

Overview

Adenomyosis is a medical condition affecting the uterus of women. Understanding the early signs and symptoms of adenomyosis is crucial for precise diagnosis and effective treatment. In this article, we will learn about the main symptoms of adenomyosis, such as heavy bleeding, severe cramps, abdominal tenderness, and chronic pelvic pain. We will also outline the commonly asked questions about adenomyosis and the right time to contact your doctor.

Introduction

Adenomyosis is a condition that affects the uterus. The cells of the uterine lining that usually grow inside the uterus will start growing in the muscular layer of the uterus. Women aged 30 and 40 years are most commonly affected by this condition, though it may occur at any age. Some women do not experience any adenomyosis symptoms for years, and the condition is only diagnosed during a routine ultrasound scan, but some women experience heavy bleeding during periods, inflammation, pain, and heaviness in the abdomen.

Early intervention is necessary because early diagnosis can help prevent complications. Adenomyosis produces similar symptoms to other gynaecological conditions, such as uterine fibroids or endometriosis; therefore, seeking medical intervention and consulting a healthcare professional is important. This medical condition can be managed with appropriate medical treatment, and women can lead healthy reproductive lives.

Common Adenomyosis Symptoms

Common manifestations of adenomyosis include heavy menstrual bleeding, pelvic discomfort, and persistent pelvic pain.

The most prevalent adenomyosis symptom is excessive bleeding, sometimes for a prolonged period. You might bleed for a period of time that lasts longer than five days; you might have exceptionally large blood clots during your cycle; you might use multiple pads every hour. Excessive bleeding may occur due to the thickness and displacement of the endometrial lining that is shed within the uterine muscle. Because of the considerable amount of blood you are losing during your menstrual cycle, you can develop anaemia that could cause you to feel weak and exhausted.

Another adenomyosis sign and symptom is severe pain in the pelvic region, especially during periods. Labour-like pains may occur during periods due to trapped tissues within the uterine muscle that cannot shed normally, leading to intense pain and inflammation. Pain increases over time and does not get relieved by taking over-the-counter pain medications.

Consistent pelvic discomfort or pain may occur in some women even when they do not have periods. Women who have adenomyosis often describe a dull ache or sensation of pressure and/or heaviness in their abdomen on a continual basis, which may hinder their ability to participate in normal daily activities and lower their overall quality of life.

Other Signs and Symptoms of Adenomyosis

Some other usual signs of adenomyosis include the following:

  • Another way adenomyosis affects you is by causing painful intercourse. This occurs due to inflammatory changes and thickening of the uterine muscle lining. It affects the sexual life of women, due to which they must consult with a healthcare provider for early diagnosis and treatment.
  • The size of the uterus increases due to adenomyosis, due to which women may feel heaviness or bloating in the abdomen. Pelvic pressure and abdominal tenderness are diffuse adenomyosis symptoms. A woman may feel as if she is carrying extra weight in her abdomen.
  • The uterus may feel soft during physical examination, indicating inflammation and thickening of the uterine muscular wall.

Not all women experience adenomyosis symptoms. Some only notice mild symptoms such as mild cramping, discomfort, and slightly heavier periods. Such cases remain undiagnosed until women go for routine ultrasound scans. Without symptoms, the condition may worsen over time and lead to complications.

When to see a doctor for adenomyosis symptoms?

Consultation with a doctor is essential if you experience constant pelvic pain, heavy bleeding during periods, severe pain during periods, weakness, fatigue, and dizziness. Heavy bleeding or unusual bleeding during periods is a sign of some gynaecological issue. Infertility can be caused by adenomyosis. If you have difficulty achieving pregnancy, consult with your health care provider immediately. Early diagnosis and planned management are essential to avoid complications, and your physician will recommend treatment based on your signs & symptoms and clinical findings. If you experience weakness and fatigue with usual activities, persistent abdominal discomfort, heavy menstrual bleeding, etc., consult your physician.

Conclusion

Adenomyosis occurs when endometrial cells grow into the uterine muscular wall, thickening it. The condition may cause different symptoms, including heavy bleeding during periods, severe pelvic pain and pressure, and abdominal discomfort. Some women may experience no symptoms, and the condition may remain undiagnosed. Understanding the symptoms of adenomyosis is important to prevent complications and get the right treatment on time. Monitoring menstrual bleeding, pain patterns, and other changes helps with early diagnosis and timely treatment, thereby preventing complications. Early treatment can also improve quality of life.

Common Questions Asked

Is adenomyosis a serious health problem?

 

Adenomyosis does not cause any serious complications, but it can lead to difficulty in achieving conception or miscarriage if left untreated. The symptoms can disturb daily living activities.

How does adenomyosis affect pregnancy?

 

Women with adenomyosis may have an increased risk of miscarriage or premature labour. Your healthcare provider can help by giving suitable medical treatment during pregnancy to prevent such complications.

What happens if adenomyosis is left untreated?

 

Untreated adenomyosis can cause infertility or miscarriage because the embryo may not implant into the uterine lining, and you may experience chronic pelvic pain.

What are the risk factors for adenomyosis?

 

Adenomyosis mostly occurs in the 40-50 age range. It is common in women who have had endometriosis or past surgeries, such as the removal of uterine fibroids.

How is adenomyosis diagnosed?

 

Your healthcare provider will take your menstrual history and, based on your symptoms, will recommend ultrasound scans or imaging tests to diagnose adenomyosis.

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