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  • Writer's pictureKiki Maree

A is for Adenomyosis

Symptoms, misdiagnosis, traditional & holistic approaches.


Adenomyosis, a condition characterized by the presence of endometrial tissue within the muscular walls of the uterus, affects countless female bodied people worldwide. While hormonal contraceptives are commonly prescribed to manage adenomyosis symptoms, their potential side effects and limited effectiveness for some individuals have prompted the exploration of alternative, holistic approaches. In this blog post, we will delve into the nature of adenomyosis, discuss its conventional treatment options, and explore holistic remedies that can provide relief and enhance overall well-being.


Understanding Adenomyosis

Adenomyosis is a condition that primarily affects female bodied people in their reproductive years. It occurs when the endometrial tissue, typically confined to the uterus lining, grows into the muscular walls. This abnormal growth causes the uterine walls to thicken, resulting in symptoms such as heavy or prolonged menstrual bleeding, pelvic pain, bloating, and discomfort during intercourse.


Symptoms of Adenomyosis

The main symptoms of adenomyosis can vary from person to person, and some individuals may experience more severe symptoms than others. The most common symptoms associated with adenomyosis include:

  1. Heavy or Prolonged Menstrual Bleeding: Female bodied people with adenomyosis often experience heavier and longer menstrual periods than usual. This can lead to the need for frequent changes of sanitary products and anemia due to blood loss.

  2. Severe Menstrual Cramps: Adenomyosis can cause intense and debilitating menstrual cramps (dysmenorrhea) that may start before the period and last throughout its duration. The pain can radiate to the lower back and thighs.

  3. Pelvic Pain and Pressure: Many female bodied people with adenomyosis experience chronic pelvic pain and pressure outside of their menstrual cycle. This pain can be dull, aching, or sharp and may worsen during menstruation or sexual intercourse.

  4. Enlarged Uterus: Adenomyosis can cause the uterus to become enlarged and tender. This enlargement can be detected during a physical examination by a healthcare provider.

  5. Irregular Bleeding: Some female bodied people with adenomyosis may experience irregular bleeding between periods or have spotting throughout the menstrual cycle.

  6. Painful Intercourse: Adenomyosis can lead to discomfort or pain during sexual intercourse (dyspareunia) due to the increased sensitivity and inflammation of the uterine tissues.


It is important to note that the severity and combination of symptoms can vary among individuals. Some female bodied people may experience mild symptoms, while others may have more severe and debilitating manifestations. Additionally, it is possible for adenomyosis to be present without causing noticeable symptoms, making it challenging to diagnose without imaging studies or further investigation.


If you suspect you may have adenomyosis or are experiencing any of these symptoms, it is advisable to consult with a healthcare professional for a proper evaluation and diagnosis.


Misdiagnosis

It is possible for someone experiencing period pain to be misdiagnosed with adenomyosis. Adenomyosis shares similar symptoms with other gynecological conditions, such as endometriosis, uterine fibroids, pelvic inflammatory disease (PID), and certain types of ovarian cysts. Due to the overlapping symptoms, misdiagnosis can occur, leading to inappropriate treatment plans or delays in receiving proper care.


The definitive diagnosis of adenomyosis usually requires a combination of medical history evaluation, physical examination, and imaging techniques. Imaging studies like transvaginal ultrasound, magnetic resonance imaging (MRI), or hysteroscopy may be used to visualize the uterus and confirm the presence of adenomyosis.


However, even with these diagnostic tools, there is still a possibility of misdiagnosis. The accuracy of imaging techniques can vary, and the interpretation of results may be subjective. In some cases, adenomyosis may not be clearly visible on imaging studies, leading to an inconclusive diagnosis.


Moreover, adenomyosis can coexist with other gynecological conditions, further complicating the diagnostic process. For example, a person may have both adenomyosis and endometriosis, and the symptoms may overlap or exacerbate each other. This can make it challenging to distinguish between the two conditions accurately.


If someone suspects they have been misdiagnosed with adenomyosis or their symptoms do not improve with the prescribed treatment, seeking a second opinion from a specialist, such as a gynecologist or reproductive endocrinologist, is advisable. A thorough evaluation, including a review of medical history, symptoms, and additional diagnostic tests if necessary, can help ensure an accurate diagnosis and appropriate treatment plan tailored to the individual's specific condition.


Traditional Treatment Approaches

Hormonal contraceptives, such as birth control pills, intrauterine devices (IUDs), and hormonal patches, are commonly prescribed to manage adenomyosis symptoms. These contraceptives aim to regulate hormonal imbalances, suppress the menstrual cycle, and reduce the thickness of the uterine lining. While these treatments may offer temporary relief, they often come with potential side effects, including weight gain, mood swings, reduced libido, and an increased risk of blood clots.


Holistic Approaches to Manage Adenomyosis:

  1. Diet and Nutrition: Adopting a balanced diet can help alleviate adenomyosis symptoms. Incorporating anti-inflammatory foods like fruits, vegetables, whole grains, and lean proteins can reduce inflammation and promote hormonal balance. Avoiding processed foods, refined sugars, caffeine, and alcohol can further support overall well-being.

  2. Herbal Remedies: Certain herbs have been traditionally used to manage hormonal imbalances and reduce inflammation associated with adenomyosis. Examples include vitex agnus-castus (chasteberry), curcumin, ginger, and evening primrose oil. However, it's essential to consult with a qualified herbalist or healthcare provider to determine appropriate dosages and potential interactions.

  3. Stress Management: Chronic stress can exacerbate adenomyosis symptoms. Engaging in stress-reducing activities such as yoga, meditation, deep breathing exercises, and mindfulness practices can positively impact hormonal balance and alleviate pain.

  4. Acupuncture: This ancient Chinese practice involves the insertion of thin needles into specific points on the body. Acupuncture has shown promise in reducing pelvic pain associated with adenomyosis by promoting blood flow, reducing inflammation, and triggering the release of endorphins.

  5. Bodywork: Therapeutic yoni massage and/or pelvic floor physical therapy can provide significant relief by addressing muscle imbalances, improving blood circulation, and reducing pain. A skilled therapist can guide individuals through exercises and techniques tailored to their specific needs.

  6. Heat Therapy: Applying a heating pad or taking warm baths can help relax the pelvic muscles and alleviate pain and discomfort associated with adenomyosis.

  7. Mind-Body Techniques: Techniques such as cognitive-behavioral therapy, biofeedback, and hypnotherapy can help manage pain perception, reduce anxiety, and improve overall well-being.

Downsides of Hormonal Contraceptives

While hormonal contraceptives are commonly prescribed for adenomyosis, they may not be suitable for everyone due to their potential side effects and limited effectiveness. Some individuals may experience adverse reactions or find that their symptoms persist despite hormonal therapy. As mentioned, common side effects include weight gain, mood changes, decreased libido, and an increased risk of blood clots- among many others. Furthermore, hormonal contraceptives only address the symptoms of adenomyosis without addressing the root cause of the condition. They work by suppressing the menstrual cycle and thinning the uterine lining, which can provide temporary relief from heavy bleeding and pain. However, once a female bodied person stops taking hormonal contraceptives, the symptoms often return.


Another downside of hormonal contraceptives is that they may mask the progression of adenomyosis. By suppressing the symptoms, female bodied people may be unaware of the extent to which the condition is advancing. Delaying proper diagnosis and treatment can have long-term consequences, as adenomyosis can lead to fertility issues and the need for more invasive interventions in the future.


Furthermore, hormonal contraceptives are not suitable for female bodied people who wish to conceive. These medications prevent ovulation and alter the hormonal balance, making it difficult to achieve pregnancy. For female bodied people with adenomyosis who desire to start a family, alternative treatment options should be explored.


It's important to note that every individual's experience with hormonal contraceptives can vary. While some female bodied people may find relief and tolerate them well, others may experience significant side effects and prefer to explore alternative approaches.



Pain during penetration and adenomyosis

The pain experienced during penetration in individuals with adenomyosis can vary depending on the severity of the condition and individual differences in pain perception. Adenomyosis can cause deep pelvic pain and inflammation, which may contribute to discomfort or pain during sexual intercourse (dyspareunia). The pain experienced during penetration can be described in various ways:

  1. Deep, Aching Pain: Some individuals may experience a deep, aching sensation during penetration. This pain can be located in the lower abdomen or pelvic region.

  2. Pressure or Fullness: Adenomyosis can cause an enlarged uterus and increased sensitivity in the pelvic area. This may lead to feelings of pressure or fullness during penetration.

  3. Sharp or Stabbing Pain: In some cases, the pain experienced during penetration may be sharp or stabbing. This type of pain can be more intense and localized.

  4. Discomfort After Intercourse: Following sexual intercourse, individuals with adenomyosis may experience lingering discomfort or pain in the pelvic region that can last for hours or even days.

It is important to remember that pain experienced during intercourse can have various causes, and adenomyosis is just one potential factor. Other conditions, such as endometriosis, pelvic inflammatory disease, or vaginal infections such as candidiasis (yeast infection aka thrush) or STIs, can also contribute to pain during penetration. If you are experiencing pain during intercourse, it is recommended to consult with a healthcare professional or gynecologist for a thorough evaluation to determine the underlying cause and appropriate treatment options.


Adenomyosis is a complex condition that requires a comprehensive approach to management. While hormonal contraceptives are commonly prescribed to alleviate symptoms, they come with potential side effects and limitations.


Holistic approaches, such as dietary modifications, herbal remedies, stress management techniques, acupuncture, physical therapy, heat therapy, and mind-body techniques, offer potential benefits in managing adenomyosis symptoms. It is crucial for individuals to work closely with their healthcare providers to develop a personalized treatment plan that addresses their specific needs, taking into consideration the potential downsides of hormonal contraceptives and exploring alternative options to achieve optimal well-being and symptom relief.


Adenomyosis primarily involves the thickening of the uterine walls and the presence of endometrial tissue within the muscular layers of the uterus. The condition is typically associated with deep pelvic pain rather than pain localized to the vulva or the entrance of the vagina. However, it is important to note that pain experiences can vary among individuals, and some female bodied people with adenomyosis may also experience discomfort in the vulva or at the vaginal opening.


If a person with adenomyosis experiences pain in the vulva or at the entrance of the vagina during sexual intercourse, it is possible that other factors, such as pelvic floor muscle tension or vaginal dryness, may be contributing to the discomfort. Pelvic floor muscle tension can cause tightness and pain in the pelvic region, including the vaginal opening. Vaginal dryness can also lead to discomfort or pain during intercourse.


It is essential to consult with a healthcare professional, such as a gynecologist, pelvic floor physical therapist or a therapeutic yoni massage practitioner to assess and diagnose the specific cause of the pain. They can provide a comprehensive evaluation, consider all possible factors contributing to the pain, and recommend appropriate treatment options. This may include pelvic floor physical therapy, lubricants, relaxation techniques, or other interventions tailored to the individual's needs.


Nutrition for Adenomyosis

The endometriosis diet, which focuses on reducing inflammation and supporting hormonal balance, may also be beneficial for individuals with adenomyosis. Both conditions involve abnormal growth of endometrial tissue, and they can share similar symptoms and underlying mechanisms. However, it's important to note that while there may be overlap in dietary recommendations, each condition has its distinct characteristics, and the impact of diet on adenomyosis specifically is not as extensively studied as it is for endometriosis.

The endometriosis diet typically involves the following principles, which could potentially be applied to adenomyosis as well:

  1. Anti-inflammatory Foods: Including fruits, vegetables, whole grains, nuts, seeds, and fatty fish that contain antioxidants and omega-3 fatty acids can help reduce inflammation in the body.

  2. Phytoestrogen-rich Foods: Foods like soy, flaxseeds, and legumes that contain phytoestrogens may have a balancing effect on hormone levels. However, their impact on adenomyosis specifically is not well-studied, and individual responses may vary.

  3. Avoiding Potential Triggers: Some people with endometriosis find it helpful to avoid certain triggers such as caffeine, alcohol, gluten, dairy, and processed foods. These triggers may exacerbate inflammation or hormonal imbalances. While these recommendations may be worth considering for adenomyosis, there is limited evidence directly linking them to the condition.

  4. Supporting Gut Health: Consuming fiber-rich foods, fermented foods (like yogurt or sauerkraut), and probiotics can promote a healthy gut microbiome, which may positively influence overall health.

It's essential to remember that dietary recommendations should be individualized based on personal preferences, nutritional needs, and any other medical conditions one may have. Consulting with a healthcare professional or a registered dietitian who specializes in women's health can provide personalized guidance tailored to your specific situation.


Ultimately, while adopting an anti-inflammatory and hormone-balancing diet may support overall health and potentially alleviate symptoms, it is not a substitute for medical treatment or other necessary interventions for adenomyosis. It's important to work collaboratively with healthcare providers to develop a comprehensive approach to managing the condition.

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