What Is Adenomyosis?
Adenomyosis is endometriosis of the uterus. It occurs when the endometrial glands grow into the myometrium in addition to being in the endometrium.
Adenomyosis is a type of chronic pelvic pain.
Who Gets Adenomyosis
People used to think that only women in their 40s and 50s who had already had a baby were at risk of adenomyosis.
Now, with the wide-spread use of ultrasound, gynecologists are checking the uterus for younger women with painful periods and noticing the uterus looks thicker and more globular like the adenomyosis uterus.
About 50% of women with adenomyosis also have fibroids.
What Are the Symptoms of Adenomyosis
- 1/3 women asymptomatic
- Heavy menstrual bleeding
- Irregular bleeding
- Pelvic pain with period
- Pain with sex
- Infertility
Cause of Adenomyosis
- Injury from cesarean, D&C, or pregnancy
- Altered lymph and venous drainage
- Abnormal initial development of the layers of the uterus
Hormones and Adenomyosis
Adenomyosis presents as an estrogen-dominant condition. However, generally women do not have higher levels of estrogen.
The issue is that there are more estrogen receptors, and the estrogen receptors are more sensitive, so the same amount of estrogen has a bigger effect.
There are also problems with estrogen metabolism so you have recirculation of estrogen.
Additionally, there is an excess of inflammatory prostaglandins with adenomyosis. This leads to painful periods and heavy bleeding.
How To Diagnose Adenomyosis
- 2 or 3 dimensional transvaginal ultrasound
- Pelvic MRI
Biomedical Treatment of Adenomyosis
- No FDA approved treatments
- NSAIDS
- Hormonal menstrual suppression
- Gonadotrophin-related drugs
- Hysterectomy (80%)
Natural Care for Adenomyosis
- Castor oil packs
- Visceral/vascular/lymphatic manipulation
- Improve estrogen metabolism – detox
- Down-regulate estrogen receptors with adaptogens
- Treat underlying conditions such as infection and inflammation
- Modify environmental exposures to estrogen
