Adenomyosis

Adenomyosis occurs when tissue from the lining of the uterus (endometrium) grows into the muscle wall of the uterus. This tissue responds to the body's hormonal cycle in the same way as the normal lining of the uterus, which can lead to swelling and irritation in the uterus during menstruation.

This condition can cause the uterus to become enlarged and more sensitive. Many women therefore experience pain or heavier bleeding during menstruation.

Adenomyosis can occur in women of all ages, but is most commonly seen in women between the ages of 30 and 50. In some women, the condition causes few or no symptoms, while others experience discomfort that affects their daily lives.

Symptoms can vary from person to person. Some women experience few symptoms, while others experience significant pain or heavy bleeding.

Typical symptoms may include:

• Heavy or prolonged menstruation
• Painful periods (dysmenorrhea)
• Pressure or pain in the lower abdomen
• Swollen or tender uterus
• Pain during intercourse
• Bleeding between periods

The symptoms often develop gradually over time. If menstrual pain or bleeding changes in character or becomes more pronounced, it may be a good idea to be examined by a gynecologist.

If adenomyosis is suspected, a gynecologist will typically start by discussing your symptoms, menstrual pattern, and general health.

The investigation may include, among other things:

• Gynecological examination
• Ultrasound scan of the uterus
• In some cases, MRI scan

Ultrasound can often provide a good indication of whether there are signs of adenomyosis, such as a thickened or uneven uterine muscle.

A thorough assessment is important to rule out other conditions with similar symptoms, such as muscle knots (fibromas) or endometriosis.

Treatment depends on symptoms, age, and any desire to become pregnant.

For many women, treatment will focus on reducing pain and bleeding. Possible treatment options may include:

Many people experience good symptom relief with hormonal treatment, especially hormonal IUDs, which can reduce both pain and bleeding.

The choice of treatment is always made in consultation with your gynecologist and is based on your symptoms and wishes.

Adenomyosis can sometimes affect fertility, but many women with adenomyosis become pregnant without any problems.

If you are trying to conceive and also have symptoms of adenomyosis, a gynecologist can help with assessment and possible treatment.

It is important to get an individual assessment, as the impact on fertility varies from person to person.

It may be a good idea to contact a gynecologist if you experience:

• Very heavy periods
• Pain that affects your everyday life
• Persistent pain in the lower abdomen
• Bleeding between periods
• Suspicion of gynecological disease

Early diagnosis can help identify the cause of your symptoms and ensure you receive the right treatment.

When you choose a private gynecologist, you get quick access to specialized gynecological examinations without long waiting times. This can be an advantage if you experience pain, heavy bleeding, or other discomfort in your lower abdomen.

At Lægerne Danmark, we emphasize high professional standards and ample time for each individual patient. You will receive a thorough consultation, where there is room to discuss symptoms, concerns, and possible treatment options.

Make an appointment with our gynecologists today if you are experiencing symptoms of adenomyosis or would like an assessment of your menstrual pain and bleeding. We offer thorough examination, personalized advice, and treatment with a focus on your comfort and quality of life.