Endometriosis Vs. Adenomyosis: Symptoms, Diagnosis, Treatment

  • Adenomyosis is typically called the “evil sister” of endometriosis.
  • Adenomyosis is where by endometrial tissue grows in the outer muscular walls of the uterus.
  • One-third of men and women with adenomyosis are asymptomatic but some symptoms may contain cramps and blood in your urine.

Endometriosis and adenomyosis are similar problems in which irregular tissue grows somewhere it should not.

Indications of equally endometriosis and adenomyosis can vary from individual to person, but ordinarily involve pelvic soreness, heavy or distressing intervals, and infertility.

While adenomyosis is typically referred to as the “evil sister” of endometriosis, these two conditions are diverse but can typically happen at the same time. In fact, up to 50{fc1509ea675b3874d16a3203a98b9a1bd8da61315181db431b4a7ea1394b614e} of people with adenomyosis also have endometriosis. 

Hold looking through to study the discrepancies between endometriosis and adenomyosis, like frequent indications and how to get a proper prognosis. 

What is adenomyosis?

Adenomyosis is a long-term affliction in which endometrial tissue (the tissue that strains the uterus) grows into the myometrium, the outer muscular walls of the uterus, detrimental the uterine wall. 

In excess of time, this tissue buildup can induce the uterus to enlarge, major to chronic ache, abnormal uterine bleeding, and agonizing intervals.

“Endometriosis and adenomyosis are similar in that they are both equally brought on by endometrial tissue that is identified exterior the uterine cavity in which it should really be,” says Christine Peter, RNC-OB, C-EFM. “With adenomyosis, the endometrial tissue invades the wall of the uterus and is discovered in the muscle levels of the uterus by itself alternatively than just the lining.”  

What is endometriosis?

Endometriosis is a persistent, inflammatory problem in which endometrial-like tissue grows outside the house the uterus. 

Endometriosis is generally uncovered on the ovaries, fallopian tubes, and pelvic lining, but it can also expand in other places, together with the bladder, bowel, and lungs. 

“The variance for all functional needs is, when the tissue liable for menstruation is observed anyplace outdoors the uterus or outside of the endometrial cavity, this is named endometriosis,” says Dr. Tamer Seckin, laparoscopic surgeon and co-founder of the Endometriosis Basis. “If the bed of the endometrium is positioned inside the uterus, but beyond the cavity within the muscle mass wall, it can be called adenomyosis.”

Adenomyosis signs or symptoms

Virtually one-3rd of persons with adenomyosis are asymptomatic or have no signs or symptoms. For others, prevalent signs and symptoms of adenomyosis incorporate: 

  • Cramping and significant menstrual bleeding 
  • Distressing bowel movements 
  • Dyspareunia (distressing intercourse) 
  • Burning through urination 
  • Blood in the urine 
  • Inflammation of the abdomen 
  • Leg or bowel soreness for the duration of menstruation 

Endometriosis symptoms 

Endometriosis has a number of telltale indications, which include large and agonizing durations, serious pelvic suffering, and soreness with sex. 

Other indications of endometriosis incorporate: 

“Symptoms can be equivalent for both equally problems and normally contain pelvic pain, distressing, weighty intervals, and painful intercourse,” suggests Peters. “With endometriosis, sufferers are additional very likely to working experience distressing bowel actions or discomfort when urinating, much more generalized abdominal ache somewhat than sharp pelvic ache, and leg pain, specifically during menstruation.” 

How is adenomyosis identified?

Adenomyosis mimics the signs associated with other conditions, these types of as fibroid tumors and endometrial polyps, and it can be challenging to get a definitive diagnosis. 

According to the Seckin Endometriosis Heart, pathology (pursuing hysterectomy) is the gold typical for diagnosing adenomyosis. Having said that, modern-day imaging strategies this sort of as magnetic resonance imaging (MRI) have designed it simpler for specialists to see the myometrium and determine regardless of whether or not a particular person has adenomyosis. 

A pelvic ultrasound can also show cysts within just the uterine muscle mass, offering plenty of evidence for an skilled medical professional to obtain and establish suspected adenomyosis. 

“Mainly because the only optimistic diagnosis for adenomyosis requires these types of an invasive and remaining course of action, health professionals will frequently make a medical analysis centered on signs and exam conclusions (enlarged uterus),” claims Peters. “Unfortunately, other problems, these types of as uterine fibroids, can lead to comparable symptoms, so it often goes misdiagnosed.”

Insider’s takeaway 

Endometriosis and adenomyosis can lead to identical indications, which includes pelvic agony, distressing periods, and weighty bleeding. Nevertheless, as similar as they are, endometriosis and adenomyosis are really various. 

The major variation is the area in which the disorder grows: Endometriosis grows outdoors of the uterus, whilst adenomyosis grows within the uterine wall. 

There is no definitive way to diagnose a single or the other devoid of surgical treatment.