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Do You Have Adenomyosis?

The following are symptoms commonly experienced by women with adenomyosis. Please note: Not all women will experience all symptoms. The most common symptoms are severe pelvic pain and heavy menstrual bleeding.


Painful menstrual bleeding (dysmennorhea)

Heavy menstrual bleeding (menorrhagia)

Prolonged menstrual bleeding (8 to 14 days)

Bleeding between periods (spotting)

Passing large blood clots

Continuous bloody discharge

Chronic anemia due to excessive blood loss

Severe abdominal cramping (sometimes can be as severe as the last stage of labor)

Pain during ovulation

Enlarged, bulky and heavy uterus (often doubling or tripling in size)

Severe bloating

Tenderness during pelvic exam

Painful intercourse (dyspareunia)

A “bearing down” sensation

Heaviness in the legs

Leg and hip pain

Nausea and vomiting

Pressure on the bladder

Frequent urination

Painful bowel movements during menstruation

Alternating constipation and diarrhea (can mimic IBS)

Lower back pain

Depression and anxiety



Extreme mood swings

Migraine headaches

Symptoms usually resolve after menopause because of lower estrogen levels in a woman’s body.

Important note:

Symptoms of adenomyosis can present as either a gastrointestinal problem or a urological issue. My symptoms were primarily gastrointestinal which led to the misdiagnosis of irritable bowel syndrome (IBS) for many, many years.

It is so important for general practitioners to be knowledgeable about this disorder since they are usually the first doctor a patient will see.  In addition, gastroenterologists and urologists need to be up-to-date on this disorder and work with gynecologists so the adenomyosis patient will get effective treatment.

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