Sometimes, adenomyosis is silent — causing no signs or symptoms — or only mildly uncomfortable. In other cases, adenomyosis may cause:
- Heavy or prolonged menstrual bleeding
- Severe cramping or sharp, knifelike pelvic pain during menstruation (dysmenorrhea)
- Menstrual cramps that last throughout your period and worsen as you get older
- Pain during intercourse
- Blood clots that pass during your period
Your uterus may get bigger. Although you might not know if your uterus is enlarged, you may notice that your lower abdomen seems bigger or feels tender.
When to see a doctor
If you have prolonged, heavy bleeding or severe cramping during your periods — and it interferes with your regular activities — make an appointment to see your doctor.
April 02, 2015
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- Uterine adenomyosis. The Merck Manual Professional Edition. http://www.merckmanuals.com/professional/gynecology_and_obstetrics/benign_gynecologic_lesions/uterine_adenomyosis.html. Accessed Jan. 22, 2015.
- Cockerham AZ. Adenomyosis: A challenge in clinical gynecology. Journal of Midwifery and Women's Health. 2012;57:212.
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- Laughlin-Tommaso SK (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 4, 2015.