Endometriosis & Adenomyosis FAQ

Endometriosis is a condition in which tissue similar to the lining of the uterus grows outside the uterus. These areas can become inflamed and painful, especially around the time of a menstrual period. Endometriosis is a common cause of pelvic pain and painful periods, but symptoms vary widely from person to person.

Adenomyosis occurs when similar tissue grows within the muscle wall of the uterus itself. This can cause the uterus to become enlarged and tender and is often associated with heavy bleeding and significant cramping.

The main difference is where the tissue is located. Endometriosis involves tissue outside the uterus, while adenomyosis involves tissue within the uterine muscle. Some patients have one condition, and others have both.

Symptoms may include painful or heavy periods, pelvic pain outside of menstruation, pain with intercourse, pelvic pressure, or fatigue. Some patients also experience bowel or bladder symptoms that worsen during their cycle.

Many women are told that painful periods are normal, which can delay evaluation. Imaging studies may appear normal, and symptoms can overlap with other conditions. Because of this, endometriosis and adenomyosis are often underdiagnosed.

Adenomyosis is often suggested by ultrasound or MRI findings. Endometriosis may be suspected based on symptoms, but in many cases it is only confirmed through minimally invasive surgery. A careful clinical evaluation is essential.

Yes, both conditions can affect fertility, although many patients with these diagnoses are able to conceive. The impact varies from person to person and depends on disease severity and other factors.

Treatment depends on symptoms, age, and reproductive goals. Options may include hormonal therapy, pain management, pelvic floor physical therapy, or surgical treatment when appropriate. The goal is symptom relief and improved quality of life.

No. Many patients improve with non-surgical treatment. Surgery is considered when symptoms are severe, persistent, or not responding to conservative management.

Hysterectomy is the definitive treatment for adenomyosis, but it is not always the first or only option. Treatment decisions are individualized based on symptoms and patient goals.

No. Surgery is not the first-line treatment for most pelvic pain conditions. Many patients improve significantly with non-surgical therapies, particularly pelvic floor physical therapy and targeted medical management.

Pelvic pain is often caused by more than one issue. Conditions such as pelvic floor muscle tension, bladder pain, or nerve sensitivity can exist alongside endometriosis or adenomyosis. Treating all contributing factors leads to better outcomes.

You should seek evaluation if pain or bleeding interferes with your daily life, work, or relationships, or if symptoms are worsening over time. Early evaluation often allows for more treatment options.

To schedule a consultation or discuss your symptoms, please contact our office or request an appointment through our website.