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November 24, 2009
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Uterine Growths (cont.)

Adenomyosis

What is adenomyosis?

Adenomyosis is the growth of uterine tissue from one particular layer of the uterus (the endometrial glands) into the "wrong" layer (the muscle layer, called the myometrium). It is a benign condition, but it can enlarge the uterus presenting as a growth. Adenomyosis is similar to endometriosis, which is the growth of cells similar to those that form the inside of the uterus (endometrial cells), in a location outside of the uterus. In adenomyosis, the abnormal growth of endometrial cells occurs within the muscular layer of the uterus.

The cause of adenomyosis is not well understood. Some researchers believe that previous surgeries on the uterus (including Cesarean births) can cause the endometrial (uterine lining) cells to spread and grow in an abnormal location (the muscular layer of the uterine wall). Another possibility is that adenomyosis arises from tissues in the uterine wall itself that may have been deposited there during development of the uterus.

Adenomyosis is more common after childbirth.

What are the symptoms of adenomyosis?

Adenomyosis may not produce any symptoms, although some women may experience:

  • excessive bleeding,
  • painful menstrual periods,
  • bleeding between periods, and
  • painful intercourse.

How is adenomyosis diagnosed?

The true diagnosis of adenomyosis is only possible with actual microscopic examination of uterine tissue. This means that it is ultimately diagnosed after hysterectomy. Sometimes the results of a physical examination and/or ultrasound examination may suggest the presence of adenomyosis.



Next: How is adenomyosis treated? »

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