Heavy Menstrual Bleeding, Improving Knowledge, Improving Lives
Adenomyosis as cause for Heavy Menstrual Bleeding



  • Abnormal presence of endometrial tissue within the myometrium (diffuse or focal)1,2



  • Heavy menstrual bleeding, dysmenorrhea and pelvic pain and
    reduced fertility
  • Up to a third of patients are asymptomatic



  • Transvaginal ultrasound4
  • Magnetic resonance imaging5



  • Medical treatment: levonorgestrel intrauterine system, oral contraceptives, gonadotropin releasing hormone (GnRH) agonists6
  • Surgical treatment: adenomyectomy, hysterectomy3,6

Adenomyosis Library

Find more information and download materials on adenomyosis in the teaching and resources library.


  1. Fedele L, et al. Fertil Steril 1992;58:94–7.
  2. Levy G, et al. Diagn Interv Imaging 2013;94:3–25.
  3. Abbott JA. Best Pract Res Clin Obstet Gynaecol 2017;40:68–81.
  4. Munro MG, et al. Int J Gynaecol Obstet 2011;113:3–13.
  5. Dueholm M, et al. Fertil Steril 2001;76:588–94.
  6. Berlanda N, et al. Current treatment for adenomyosis. In Uterine Adenomyosis, eds Habiba M & Benagiano G. Cham, Springer, 2016:169–82.

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