Adenomyosis 

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Understanding Adenomyosis

At Bloom Women’s Health, we recognise the profound impact that adenomyosis can have on daily life and overall well-being. Affecting up to 20–35% of women, adenomyosis can cause significant discomfort and disrupt daily activities. Our team is dedicated to providing compassionate, expert care, ensuring that each woman receives a tailored approach to managing this condition effectively.

Adenomyosis occurs when the lining of the uterus (endometrium) grows into the muscle layer of the uterus. This displaced tissue continues to function as it normally would—breaking down and bleeding during the menstrual cycle—but because it is trapped within the muscle, it can lead to various symptoms.

Symptoms of Adenomyosis?

Some common symptoms of adenomyosis include:

Heavy or irregular periods:
Excessive menstrual bleeding, sometimes with large clots.

Severe cramping or sharp pelvic pain :
Pain that may worsen over time.

Chronic pelvic pain :
Ongoing pain that is not necessarily linked to the menstrual cycle.

Pain during intercourse (dyspareunia) :
Discomfort or pain during or after sex.

Fatigue and low energy :
Often due to blood loss and chronic pain.

Fertility issues:
Difficulty getting pregnant may be a symptom of adenomyosis. 

Painful bowel movements or urination during menstruation:
A lesser-known but possible symptom

Some women with adenomyosis experience minimal or no symptoms at all, while for others, the condition significantly affects daily life, including work, sleep, and relationships. Adenomyosis typically affects women during their reproductive years and often resolves after menopause. At Bloom Women’s Health, our experienced clinicians take a comprehensive approach to diagnosis and treatment, ensuring that each woman receives personalised care. 

How is Adenomyosis Diagnosed?

Diagnosing adenomyosis can be challenging, as its symptoms overlap with other conditions like fibroids and endometriosis. At Bloom Women’s Health, we utilise a range of diagnostic tools to provide clarity and support:

  • Pelvic Examination: Our specialists assess for uterine enlargement or tenderness.
  • Ultrasound: Though not always definitive, it is often the first-line imaging test as it can provide useful information about your uterus.
  • Magnetic Resonance Imaging (MRI): Provides more detailed imaging when needed for guiding treatment.
  • Histological Examination: In some cases, adenomyosis is only confirmed after a hysterectomy when tissue samples are examined under a microscope.

Many women experience delays in diagnosis due to the complexity of symptoms and overlap with other conditions. Our team is here to guide you through the process, offering expert evaluation and support every step of the way.

Treatment Options for Adenomyosis

At Bloom Women’s Health, your Gynaecologist will discuss the various treatment options with you, based on your specific circumstances. The right approach depends on symptom severity, personal preferences, and reproductive goals.

1. Managing Pain with Medications

  • Over-the-counter pain relievers such as NSAIDs (e.g., ibuprofen) can help ease pain.
  • If these are ineffective, our team may recommend other medical treatments.

2. Hormonal Treatments

Since adenomyosis is influenced by estrogen, hormonal therapies can help reduce symptoms:

  • Combined oral contraceptive pills.
  • Progestogen treatments, available as tablets, implants, or intrauterine devices (IUDs).

3. Surgical Treatments

  • Conservative Surgery: Our specialists may perform surgery to remove affected areas while preserving the uterus for those who wish to maintain fertility.
  • Hysterectomy: In severe cases, removing the uterus can be a permanent solution for those who no longer wish to conceive.

4. Non-Pharmacological and Lifestyle Approaches

While some women explore lifestyle modifications or complementary therapies, strong clinical evidence supporting these approaches is limited. However, certain strategies may help improve overall well-being:

  • Heat Therapy: Using a heating pad on the lower abdomen can provide relief from cramps and pelvic pain for some women.
  • Tracking Symptoms: Keeping a record of pain and bleeding patterns can help guide treatment decisions.
  • Seeking Support: Joining support groups or speaking with others who understand can help manage the emotional toll of adenomyosis.

Comprehensive Care for Adenomyosis

If you experience heavy periods, severe pain, or other symptoms that impact your daily life, it’s important to seek medical advice. Early diagnosis and management can help alleviate symptoms and improve overall well-being. At Bloom Women’s Health, our specialists take the time to listen, understand your concerns, and develop a treatment plan that aligns with your goals and lifestyle. We believe in a holistic and patient-centred approach to care. Whether you have been diagnosed with adenomyosis or suspect you may have it, our experienced team is here to support you.

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