Adenomyosis is a disease that can be difficult to diagnose. The only way for your NYC gynecologist Dr. Mariz to definitively tell if you have adenomyosis is after you have treated your symptoms with a hysterectomy. The specialist would examine the tissue under a microscope. However, treatment based on ultrasound images or suspicion is usually the best option.

Adenomyosis is a condition that causes the endometrial tissue lining of your uterus to grow into the muscular walls of your uterus. Once the endometrial tissue implants in the uterus muscle, the tissue continues to act as it always does, growing, thickening, breaking up, and bleeding out during your period.

Adenomyosis can be very painful when it causes your uterus to become enlarged. It creates heavy bleeding during your menstrual cycles.

Why It Happens
The cause of adenomyosis is unknown, but there are theories for this condition. It usually affects women later in life, before menopause, but after they’ve already had kids. It generally improves after you go through menopause because the hormones that cause menstruation are deficient.

Some of the causes of the condition may include:
- Abnormal development in utero, meaning endometrial tissue is deposited outside your uterus while you are still forming in your mother’s womb.
- Tissue that the specialist cuts during another procedure, such as a C-section, may cause invasive growth and instigate the invasion.
- A stem cell-related disease in that bone marrow somehow seeps into the uterus and causes unusual tissue movement.
- Following childbirth, when the uterine lining becomes inflamed. The inflammation may cause a break in the lining of your uterus, which usually forms a natural barrier for the tissue.
No matter how it develops, what is known is that estrogen feeds it. The tissue growth relies on continuing hormone production to fuel its growth, which is why the condition goes away after menopause, where much hormone production reduces.

Symptoms Vary
You may have adenomyosis and not even know it. At other times, the symptoms can be painful and obvious, such as:
- Pain while having sexual intercourse
- Heavy uterine bleeding during your period or periods that last longer than they should
- Strong cramps during your menstrual cycle that get worse as you age
- Sharp, stabbing pain through your pelvis during menstruation
- Passing blood clots with your menstrual blood

Additionally, you may notice a bulging in your abdominal area from where your enlarged uterus protrudes. You might not recognize that it’s your uterus and instead think that your belly has become enlarged and tender. But if you’re experiencing any pain in your abdominal region, it is always a good idea to visit your OBGYN specialists.

Have questions about Adenomyosis treatments or diagnosis? Schedule an appointment with the top-rated adenomyosis specialist in NYC, gynecologist Dr. Fernando Mariz, today.

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