What does adenomyosis mean?

Jul 03, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, adenomyosis is a gynecological condition characterized by the invasion of endometrial glands and stroma into the uterine muscle layer, forming diffuse or localized lesions. Patients with adenomyosis should pay attention to keeping warm in daily life and avoid cold exposure, especially applying heat to the abdomen during menstruation to relieve pain. In terms of diet, intake of spicy, greasy, and irritating foods should be reduced.

Generally, adenomyosis is a gynecological condition specifically characterized by the invasion of endometrial glands and stroma into the uterine muscle layer, forming either diffuse or localized lesions. A detailed explanation is as follows:

Adenomyosis is a common gynecological disease in which endometrial glands and stroma invade and grow into the uterine muscle layer, causing diffuse or localized enlargement of the uterus, increased firmness, and subsequent alterations in the normal shape and structure of the uterus. Patients commonly experience progressively worsening dysmenorrhea, increased menstrual bleeding, and prolonged menstrual periods. Some individuals may also have infertility or pain during sexual intercourse.

For women with adenomyosis, it is important to keep the body warm and avoid cold exposure in daily life, especially applying heat to the abdomen during menstruation to relieve pain. Diet-wise, consumption of spicy, greasy, and irritating foods should be reduced, while foods rich in vitamins and proteins should be appropriately increased. Additionally, maintaining a regular lifestyle, avoiding excessive fatigue, staying emotionally balanced, and undergoing regular gynecological examinations at hospitals are recommended to monitor disease progression promptly. If symptoms worsen or any abnormalities occur, timely medical consultation and standardized treatment should be sought.

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What causes bleeding during intercourse in patients with adenomyosis?

Adenomyosis, commonly referring to adenomyosis of the uterus, is a common gynecological condition. Vaginal bleeding during intercourse in patients with adenomyosis may result from vigorous sexual activity, hormonal fluctuations around menstruation, cervicitis, endometritis, or cervical polyps. This can be improved by adjusting sexual practices, monitoring symptoms, and medical treatment. If bleeding occurs frequently or is heavy, prompt medical attention is necessary.

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It generally takes several years for adenomyosis to develop.

Adenomyosis usually refers to adenomyosis of the uterus. The development of adenomyosis does not follow a fixed timeline and is typically a slowly progressive process that usually takes several years. Some patients may gradually develop symptoms over 5–10 years or even longer, while a few may experience rapid progression or remain asymptomatic for extended periods. If symptoms such as progressively worsening dysmenorrhea or excessive menstrual bleeding occur, prompt medical evaluation is recommended.

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How large is the size of uterine adenomyosis considered severe?

To determine the severity of adenomyosis, the size of the lesion should not be the sole criterion. A comprehensive assessment is required, taking into account the extent of the lesion, symptom presentation, growth rate, and impact on fertility. Generally, the condition is considered relatively mild when the lesion is localized, the uterine volume is not significantly increased, and symptoms are mild. However, the condition may be more severe if the lesion is extensive, the uterine volume is markedly increased, or symptoms significantly affect quality of life, even if individual lesions are not large.

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What causes adenomyosis?

In general, adenomyosis may be caused by hormonal fluctuations during the reproductive years, frequent uterine cavity procedures, endometritis, damage to the uterine muscle layer, uterine malformations, and other factors. It is recommended to seek timely medical attention, identify the underlying cause, and then improve the condition under a doctor's guidance through general treatment, medication, surgical treatment, and other approaches. In daily life, it is important to keep the abdomen warm during menstruation and avoid cold exposure.