Adenomyosis vs. Endometriosis: Learn the Differences

If you experience painful periods, heavy bleeding, and chronic pelvic pain, your symptoms could mean you have fibroids. But there are two other diagnoses that might apply: endometriosis, a condition in which endometrial tissue leaves your uterus and implants in other parts of the body. When you start your period, this rogue endometrial tissue sheds as well, causing you to bleed in your pelvis and beyond. This bleeding can leave you with cysts, scar tissue, and adhesions.

Adenomyosis also causes these kinds of symptoms, but it is a separate condition. With adenomyosis, endometrial tissue lodges itself deep in the muscle of the uterus. It does not leave the uterus.  

While initial symptoms seem to be similar, there are several ways in which these conditions affect you differently.

Distinguishing Symptoms of Adenomyosis

As we mentioned, both endometriosis and adenomyosis leave women with pelvic pain and heavy bleeding. What’s different is the timing of that discomfort: women with adenomyosis usually experience that pain around their periods. Women with endometriosis have period pain, but often also experience pain with bowel movements and at other times in their cycle.

Differing Diagnosis Methods

Endometriosis can be tough to diagnose, which is why many women can only confirm they have this condition after laparoscopic surgery (a doctors insert a thin tube with a light and camera into a small incision in your stomach. This tube lets them see the lesions, cysts, and adhesions that confirm this condition.)

In contrast, women with adenomyosis can usually receive their diagnosis with an MRI or transvaginal ultrasound. These minimally invasive tools can also confirm the scope of your condition: if you have just a few cysts in your uterus, your adenomyosis is considered focal. If the tissue is widespread within your uterus, you will be diagnosed as having diffuse adenomyosis.

Treating Adenomyosis: UAE Can Help

For both endometriosis and adenomyosis, there are a wide variety of treatment options. These include options as simple as birth control pills to an array of surgeries, some as serious as hysterectomy.

Hysterectomy is the only cure for these conditions, but other options can help control your symptoms. For women with adenomyosis, there is a newer treatment available: UAE, or Uterine Artery Embolization. With UAE, particles are injected into the uterine artery to block the blood flow to the specific problem area in your uterus. The goal is to deprive the tissue of both blood and oxygen, so your condition will abate. The procedure involves an overnight stay in the hospital.

Our doctors use three types of particles: smaller, normal and larger particles. This new protocol has increased UAE’s effectiveness rate to 80%. For this reason, UAE seems to be an excellent short term treatment option for many women.

Speak to your doctor today to learn about the best treatment options for your adenomyosis. To speak with one of our doctors, please give us a call anytime at 713-575-3686.

 

Sources: Health.com