Adenomyosis Explained: 5 Questions Centreville Women Ask
If you’re experiencing unusually heavy periods, pelvic pain, or cramping that worsens over time, you may be dealing with a condition called adenomyosis. While this condition is often confused with endometriosis, it has distinct causes, symptoms, and treatment approaches. At Reston OBGYN, we provide personalized women’s health care to patients in Centreville, Virginia, and beyond. Below, we answer some of the most frequently asked questions about adenomyosis.
What is adenomyosis, and how is it different from endometriosis?
Adenomyosis occurs when the tissue that normally lines the uterus (endometrial tissue) begins to grow into the muscular wall of the uterus. This can cause the uterus to become enlarged and tender. In contrast, endometriosis involves endometrial-like tissue growing outside the uterus, often affecting the ovaries, fallopian tubes, and surrounding organs. While both conditions share symptoms like pelvic pain and heavy bleeding, they are distinct in location and behavior, which impacts how they’re diagnosed and treated.
What causes adenomyosis?
The exact cause of adenomyosis is still unknown, but several theories exist. It may develop from uterine inflammation related to childbirth, C-sections, or other uterine surgeries. Hormonal factors—especially estrogen—are believed to play a role, as symptoms often subside after menopause. Some women may also be genetically predisposed to developing this condition.
Can adenomyosis affect fertility or pregnancy?
Yes, adenomyosis can impact fertility and pregnancy outcomes in some women. The abnormal presence of endometrial tissue within the uterine wall can interfere with embryo implantation, increase the risk of miscarriage, or cause complications during pregnancy. However, not all women with adenomyosis experience infertility. At Reston OBGYN in Centreville, Virginia, we evaluate each case individually and offer solutions tailored to your reproductive goals.
What treatment options are available for adenomyosis?
Treatment for adenomyosis depends on the severity of symptoms and whether you plan to have children. Options may include:
- Hormonal therapies, such as birth control pills or IUDs, are used to manage pain and bleeding
- Nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve pain
- Endometrial ablation, which may reduce bleeding in some women
- Uterine artery embolization (UAE) to shrink the uterus
- Hysterectomy which is the only definitive cure for adenomyosis in women who no longer wish to have children
Our providers will work with you to determine the most effective and least invasive treatment plan for your unique needs.
What are the long-term health risks of untreated adenomyosis?
When left untreated, adenomyosis can significantly affect quality of life. Chronic pain, anemia due to heavy bleeding, and sexual discomfort are common. Over time, the ongoing inflammation and hormonal imbalance can contribute to emotional distress and fatigue. Early diagnosis and treatment can reduce these risks and help you regain control over your health.
Take the First Step Toward Relief Today
If you’re in Centreville, Virginia, and suspect you may have adenomyosis, don’t wait to get answers. The compassionate team at Reston OBGYN is here to help. Call us today at (703) 348-9774 to schedule a personalized consultation and get the care you deserve.
