This How to Treat article and quiz are accredited by the RACGP and ACRRM for the 2017-2019 triennium
Key Points
  • Adenomyosis can cause debilitating heavy menstrual bleeding and dysmenorrhoea.
  • Adenomyosis can impair fertility and pregnancy.
  • Adenomyosis often coexists with fibroids and endometriosis.
  • Heightened awareness and clinical suspicion are keys to early diagnosis.
  • Ultrasound signs can be subtle; MRI is more accurate but not readily available.
  • Medical therapy is aimed at reducing heavy menstrual bleeding and dysmenorrhoea
  • Uterine artery embolisation is an effective non-surgical alternative to hysterectomy.