Adenomyosis
When the uterus itself is the source of pain and heavy bleeding
Adenomyosis is a condition where tissue similar to the lining of the uterus grows into the muscle wall of the uterus. This can cause the uterus to become enlarged, tender, and prone to heavy bleeding and pain.
It is a common but often under-recognised cause of painful and heavy periods.
How adenomyosis can affect you
Adenomyosis may cause:
Heavy or prolonged periods
Severe or worsening period painPelvic pain outside of your period
Pain during sex
Fatigue or anaemia from blood lossFertility or implantation difficulties
Symptoms often worsen over time and may be more noticeable after pregnancy or in your 30s and 40s.
How adenomyosis is diagnosed
Adenomyosis cannot be diagnosed by examination alone.
Specialist pelvic ultrasound is one of the most effective ways to identify adenomyosis by detecting characteristic changes in the uterine muscle, including:
Thickening or irregularity of the uterine wall
Changes in tissue texture
Small cysts within the muscle of the uterus
Because this requires specific imaging techniques and pattern recognition, adenomyosis is often missed on routine scans.
My training in advanced pelvic ultrasound (ASUM DDU) allows these subtle features to be identified more reliably.
Treatment options
Treatment depends on symptoms, age, and fertility plans. Options may include:
Pain relief and anti-inflammatory medication
Hormonal treatments
Management of heavy bleeding
Laparoscopic (keyhole) surgery when appropriate
Fertility-focused planning if pregnancy is a goal
We will discuss what makes sense for you and tailor care accordingly.
How I can help
I specialise in the diagnosis and management of adenomyosis, using advanced ultrasound to identify the condition and guide treatment.
When surgery is needed, I use fellowship-trained minimally invasive techniques wherever possible to reduce pain, recovery time, and disruption to your life.
Related services
Book an appointment for adenomyosis in Auckland
If you have heavy, painful periods or pelvic pain that may be due to adenomyosis, you can book a consultation online.