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What is Adenomyosis? its Causes, Symptoms, and Management

Adenomyosis is a condition characterized by the infiltration of cells that normally line the inside of the uterus into the muscle of the uterus. Unlike a well-defined mass, these cells grow within the uterine muscle, leading to various symptoms and potential complications including pregnancy and fertility.


The invasive growth of lining cells into the muscle layer can occur due to different reasons:

  • Developmental Origin: Surgical procedures may inadvertently deposit lining tissue into the uterine muscle during fetal development.
  • Postpartum Inflammation: Inflammation of the uterine lining after childbirth can cause cells to penetrate the weakened muscle layer.


Adenomyosis manifests through a range of symptoms, affecting various aspects of a woman’s health:

  1. Pain:
    • Severe menstrual cramps
    • Painful intercourse
    • Ovulation pain
    • Enlarged uterus
    • Pelvic pain/pressure
    • Headache
  2. Menstrual Changes:
    • Heavy menstrual bleeding
    • Prolonged periods
    • Blood clots
    • Spotting between periods
  3. Bowel Issues:
    • Constipation
    • Painful bowel movements
    • Irregular bowel movements
    • Diarrhea
    • Bloating
  4. Other Symptoms:
    • Nausea
    • Fatigue
    • Infertility
    • Insomnia

Uterine Changes in Adenomyosis

Adenomyosis alters the characteristics of the uterus, making it longer, wider, deeper, and thicker than usual.

Mild Adenomyosis Management in IVF Setting

In the context of In Vitro Fertilization (IVF), managing mild adenomyosis involves a structured approach:

  • Stimulate ovaries
  • Collect eggs
  • Create embryos
  • Freeze embryos
  • Wait for 3 months
  • Embryo transfer

Diet Recommendations for Adenomyosis Symptoms

Certain foods can help alleviate symptoms, while others should be avoided:

  • Foods to Support:
    • Flax seeds
    • Cinnamon
    • Ginger
    • Carrot
    • Chickpeas
    • Citrus fruits
    • Kale
    • Oats
    • Chia seeds
    • Turmeric
  • Foods to Avoid:
    • Wheat
    • Gluten
    • Dairy
    • Artificial sugar
    • Bananas
    • Alcohol
    • Tea
    • Coffee

Management Strategies

Management approaches vary based on age:

  • Younger Women:
    • Intrauterine device
    • Hormone therapy
    • Uterine artery embolization
    • Anti-inflammatory medications
    • Endometrial ablation
  • Older Women:
    • Discontinuation for menorrhagia
    • Hysterectomy (with or without bilateral salpingo-oophorectomy)

Untreated adenomyosis can lead to infertility and other complications, including pelvic organ prolapse. Regular medical evaluation and appropriate interventions are crucial for effective management.

Vardaan IVF Hospital stands with you in the face of adenomyosis, providing expert fertility care infused with empathy. Explore personalized treatments, cutting-edge technology, and a supportive environment as you take decisive steps towards realizing your dream of parenthood.

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