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What is the difference between adenomyosis and endometriosis?

What is the difference between adenomyosis and endometriosis?

Adenomyosis and endometriosis are two common gynecological health conditions that bear many similar symptoms including painful and heavy periods, painful intercourse, and possible infertility.

But while many of their symptoms cross over, they are also very different.

What is Adenomyosis?

Adenomyosis is a gynecological condition where the endometrial tissue grows within the muscular wall of the uterus. This results in the enlargement of the uterus and can lead to symptoms such as heavy menstrual bleeding, severe menstrual cramps, painful intercourse, and chronic pelvic pain.

The exact cause of adenomyosis remains unclear, but several theories have been proposed including hormonal imbalances, inflammation, and even genetic factors.

What is Endometriosis?

Endometriosis is when endometrial-like tissue grows outside of the uterus, commonly found on the uterus, fallopian tubes, and ovaries.

Similarly to adenomyosis, endometriosis can cause painful heavy bleeding and potential fertility problems, among many other similar symptoms.

This diagram presents the symptom cross over between adenomyosis and endometriosis.

Diagnosing adenomyosis and endometriosis

The only way to know for sure if you have adenomyosis, endometriosis, or possibly even both, is through a combination of clinical evaluation including a medical history and often a vaginal examination, imaging studies, and sometimes surgical procedures.

But let’s break down the diagnostic process for each condition.

There are also some natural ways to try and ease your symptoms of adenomyosis and endometriosis. 

Here are just a few that you can find at Unfabled:

  • VUSH Aura Period Pain Relief Device - you could try a pain relief device like this one. The Aura uses TENS pulse therapy to treat period pain safely and effectively. The pulses suppress pain signals to the brain and encourage the body to produce higher levels of its natural pain-killing chemicals, easing period cramps, and other muscle aches and pains.
  • Fluxies Body Hot Water Bottle - fluxies' new Body Hot Water Bottle is the perfect support for when those period cramps and backaches kick in. This body hot water bottle comes with a tie for you to easily wrap around your tummy to help ease the pain.
  • BeYou Period Patches - If you’re not a fan of the hot water bottle, then these patches can be the ultimate saviour! They create a 'cooling tingle' on application and slowly deliver a cramp-numbing sensation to the skin over 12 hours. Made from steam-distilled eucalyptus and peppermint-derived menthol oils, the biodegradable patches use an adhesive derived from tree sap and can be applied wherever you feel it’s needed.

Understanding the differences between adenomyosis and endometriosis is crucial in seeking an accurate diagnosis and the appropriate treatment for you. 

If you think that you may be experiencing potential symptoms related to adenomyosis or endometriosis, consult a healthcare professional.

THIS ARTICLE HAS BEEN REVIEWED FOR ACCURACY BY OUR CLINICAL LEAD

Zoe Sever is Unfabled's Clinical Lead. Zoe brings a wealth of knowledge from her broad spanning background, having started her career in Nursing and transitioning to Sexology and Research. She holds a Masters in Sexual and Reproductive Health and is currently pursuing a PhD in Women's and Reproductive Health.

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Adenomyosis treatment:

As of now, there is no definitive cure for adenomyosis. But some things can medically support your body to help ease your symptoms.

  • Pain management you can take OTC painkillers like aspirin, ibuprofen, and naproxen to help relieve symptoms but remember to speak to a doctor if you have been taking them for a while and still feel pain as you may require further support.
  • Hormonal therapy aims to regulate or suppress the menstrual cycle, helping to alleviate symptoms of adenomyosis e.g. birth control pills, and intrauterine devices.
  • Adenomyomectomy is surgery to remove adenomyosis from your uterine muscle.
  • Surgical interventions such as hysterectomy – this is the removal of the uterus and is only an option in severe cases if fertility is not a concern.
  • Uterine Artery Embolisation can also be carried out to treat adenomyosis by relieving the symptoms.

Endometriosis treatment:

Similarly to adenomyosis, there is currently no cure for endometriosis. However, some options can help to manage bothersome symptoms.

  • Hormone treatment like the IUD, oral contraceptive pill, implant, or contraceptive injections. 
  • Pain medication – like adenomyosis symptoms, you can take OTC painkillers to help relieve the symptoms, but speak to a doctor if you’ve been taking them for a while and still feel pain.
  • Surgical interventions like a laparoscopic excision or sometimes a hysterectomy can be used to treat endometriosis in severe cases.

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References
  1. American College of Obstetricians and Gynaecologists. (2020). Heavy Menstrual Bleeding. Retrieved from https://www.acog.org/womens-health/faqs/heavy-menstrual-bleeding
  2. American College of Obstetricians and Gynaecologists. (2020). Endometriosis. Retrieved from https://www.acog.org/womens-health/faqs/endometriosis
  3. NHS, Adenomyosis. Retrieved from https://www.nhs.uk/conditions/adenomyosis/

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