gynecology and obstetrics
Uterine Adenomyosis
Key Points
In uterine adenomyosis, the uterus may double or triple in size. It commonly causes heavy menstrual bleeding, dysmenorrhea, and anemia and may cause chronic pelvic pain; symptoms may resolve after menopause. Diagnose by transvaginal ultrasonography and/or MRI; however, definitive diagnosis requires histology after hysterectomy. The most effective treatment is hysterectomy, but hormonal treatments (eg, oral contraceptives) can be tried. 