Adenomyosis is a condition of the uterus (womb) where the cells that normally form a lining on the inside of the uterus, also grow in the muscle wall of the uterus.
The most common symptoms are:
- abnormal or heavy menstrual bleeding
- painful periods, often after years without pain
- pain with intercourse (dyspareunia)
- bleeding between periods
- on vaginal examination, the uterus feels enlarged and is often tender to touch
- excessive menstrual bleeding can lead to symptoms of anaemia (deficiency in the number of red blood cells) or iron deficiency such as:
The uterus removal means you will no longer have heavy bleeding. However, for the treatment of PMDD, you will need ovary removal (known as a bilateral oophorectomy - both ovaries removed) also. A dual diagnosis may need to be treated more carefully so it is important to be under the care of a knowledgeable provider.
Visit www.iapmd.org/surgery for lots of evidence-based information and resources for those considering, going through or recovering from surgery for PMDD/PME.