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Adenomyosis

Adenomyosis uteri · Adenomyóza

female only

What it is

Lining tissue grows into the muscle wall of the womb, making it bulky, painful and prone to heavy bleeding.

Symptoms & signs

  • Heavy periods
  • severe period pain
  • enlarged tender womb
  • pain during sex
  • pelvic pressure
  • infertility

🚩 Get help if…

  • call 112 / 911 now Bleeding soaking a pad an hour with dizziness or fainting
  • see a doctor soon Heavy bleeding with tiredness, breathlessness or pale skin
  • see a doctor soon Bleeding between periods, after sex or after the menopause
  • see a doctor soon Period pain that stops you working despite painkillers

Where it strikes

Medical treatment

  • NSAIDs and tranexamic acid
  • hormonal IUD (Mirena)
  • progestogens, the pill or GnRH analogues
  • uterine artery embolisation
  • hysterectomy when the family is complete

Natural & lifestyle

  • Heat and exercise for pain
  • anti-inflammatory diet
  • iron for heavy bleeding

Emerging & experimental

  • Focused ultrasound (HIFU)
  • GnRH antagonists (relugolix combination)
  • adenomyomectomy

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Curcumin and resveratrol — shrink lesions in lab and animal studies early / small studies
  • Acupuncture for period pain — trials disagree mixed evidence
  • Castor oil packs and 'womb massage' — traditional; untested anecdotal / traditional
  • Chinese herbs (Guizhi Fuling) — Chinese trials, low quality early / small studies

ICD codes