What is Adenomyosis?

Adenomyosis is a relatively widespread gynecological condition that causes the tissue that lines the uterus to grow into the uterus’ muscular walls. It occurs when the tissue lining of the uterus grows inward into the uterus muscle instead of outward into the lining of the uterus.

These displaced endometrial cells are stimulated the way normal endometrial tissue would be, thickening, breaking down, and bleeding during each menstrual cycle. Instead of peeling off and shedding, the trapped tissue builds up and scars within the uterus, resulting in a physical thickening of the uterus and symptoms that range from mild to severe.

Known as the “sister” disease to endometriosis, symptoms of adenomyosis are similar to that of endometriosis as well as fibroids, two gynecologic conditions that also affect the uterus. Although the majority of women with this condition experience no symptoms at all, about one-third suffers from symptoms like heavy periods, pelvic pain, and bladder pressure.

This condition may affect 20% to 65% of women and most commonly develops in reproductive-age women. While not life-threatening, adenomyosis can cause severe pain and discomfort, which is why treatment from an adenomyosis specialist NYC is recommended for improved quality of life.

What Are the Symptoms of Adenomyosis?

Adenomyosis can affect the entire uterus or be localized to one spot. It results in a physical thickening of the uterus due to the lining growing deep into the muscle wall. Common symptoms include:

Heavy or prolonged menstrual bleeding

Painful cramps

Abdominal pressure and bloating

Anemia from heavy menstrual bleeding

Pain during sexual intercourse

Pressure on the bladder and rectum

Painful bowel movements/urination

Difficulty getting pregnant

Causes & Risks


Although the exact causes of adenomyosis aren’t known, various studies have suggested a link to hormones like estrogen, progesterone, prolactin, and follicle-stimulating hormones.



  • Although adenomyosis doesn’t directly cause infertility, there seems to be a link between it and other possible conditions. The issues contribute to difficulty becoming pregnant or carrying a pregnancy to term.


  • Prolonged or profuse menstrual bleeding experienced by women with adenomyosis can sometimes cause a woman to become anemic, a condition often caused by an iron deficiency.

Diagnosis & Care for Adenomyosis NYC

Previously, even the best fibroid doctor could diagnose adenomyosis only by examining uterine cells under a microscope after performing a hysterectomy. Today, new imaging technology allows our fibroid and adenomyosis specialists NYC to see and accurately pinpoint locations and amounts of the displaced cells.

Because the symptoms of fibroids and adenomyosis are so similar, misdiagnosis is incredibly common. It takes the very skilled eye of a gynecologist specializing in the treatment of both fibroids and adenomyosis to distinguish the difference. The Viva Eve team of fibroid and adenomyosis experts will be able properly diagnose your condition and suggest the best course of treatment.



No two patients with adenomyosis are alike. And that means that treating this condition will not look the same for everyone. There are several factors that will determine which course of treatment is the best for you, including your age, your risk factors, your medical history, and the severity of your symptoms.


Determining a Diagnosis

After taking a thorough medical history and performing a medical exam that includes a pelvic examination, your gynecologist or adenomyosis specialist can use an MRI or a transvaginal ultrasound to rule out any other conditions — without the need for surgery. Occasionally, the best method for diagnosing your condition may be to conduct an endometrial biopsy. Advanced diagnostic tools increase the chances of accurate diagnosis and more effective treatment options.


Discussing Your Options with an Adenomyosis Specialist

Your adenomyosis NYC specialist should discuss with you the pros and cons of minimally invasive, uterus-sparing therapies, like UAE, which has been proven very effective in the treatment of adenomyosis. You will likely also discuss surgical interventions such as a hysterectomy.



At Viva Eve, our team of adenomyosis specialists NYC will explore all of your treatment options with you and recommend an appropriate course of treatment based on your medical case and unique circumstances. We offer surgical and nonsurgical treatment options, including minimally invasive therapies to treat adenomyosis, such as uterine artery embolization (UAE).

Treatment Options

Hysterectomy NYC

A hysterectomy is the surgical removal of a woman’s uterus.

Learn More

Myomectomy Procedure NYC Overview

A surgical procedure that is most often suggested to women of childbearing age who would like to get pregnant in the future is a myomectomy.

Learn More

Uterine Fibroid Embolization NYC

Uterine Fibroid Embolization (UFE) is a minimally invasive, nonsurgical procedure for the treatment of fibroids that has been performed successfully for over two decades.

Learn More

Hormone Treatment for Fibroids

Fibroid hormone treatment targets the hormones that regulate the menstrual cycle in order to shrink fibroids and slow their growth.

Learn More

Talk to a specialist to see how we can help.

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