Adenomyosis: The Overlooked Cause of Painful, Heavy Periods
By Dr. Neha Singhania • 2026-06-10
If your periods have become heavier and more painful over the years, adenomyosis may be the reason — yet it is often missed. It is common, especially in women in their late 30s and 40s, and it is very treatable once recognised.
What is adenomyosis?
In adenomyosis, tissue similar to the uterine lining grows into the muscular wall of the uterus. With each cycle this tissue bleeds within the muscle, causing the uterus to become enlarged, tender and painful, with heavy periods.
How it differs from fibroids and endometriosis
A woman can have more than one of these at the same time, which is why an accurate diagnosis matters.
Common symptoms
Some women have mild or no symptoms and are diagnosed incidentally.
How it is diagnosed
Treatment options
Treatment depends on your symptoms, age, and whether you want to conceive:
Adenomyosis and fertility
Adenomyosis can affect fertility, but many women still conceive, and treatments can improve both symptoms and chances. If you are trying to conceive, an individualised plan is important.
Heavy, worsening periods are not something to endure. A focused evaluation can confirm adenomyosis and offer real relief.
Frequently Asked Questions
What is the difference between adenomyosis and fibroids?
Fibroids are distinct lumps of muscle in the uterus, while adenomyosis is uterine-lining-like tissue growing diffusely within the muscular wall. Both can cause heavy, painful periods and can occur together.
Can adenomyosis be cured without surgery?
Symptoms can be controlled without surgery using anti-inflammatories and hormonal treatment, especially a Mirena IUD. Hysterectomy is the only permanent cure and is reserved for severe cases after childbearing is complete.
Can I get pregnant with adenomyosis?
Yes, many women with adenomyosis conceive. It can affect fertility, so if conception is delayed, an individualised plan and treatment can improve both symptoms and chances.
How is adenomyosis diagnosed?
Through a pelvic examination showing a bulky, tender uterus, an ultrasound showing typical changes in the uterine wall, and MRI when confirmation or mapping is needed.
Does adenomyosis go away after menopause?
Because adenomyosis is driven by hormones, symptoms usually improve significantly after menopause when hormone levels fall.
Have questions? Talk to the doctor
Book an appointment with Dr. Neha Singhania for personalised advice.
