What is adenomyosis and is it a serious condition?

Jul 10, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
The lesion is localized with mild symptoms, only presenting as slight abdominal pain during menstruation, without significant increase in menstrual flow, anemia, or pelvic adhesions. It has minimal impact on daily life and fertility, and symptoms can be relieved with medication, without the need for aggressive treatment. If the lesion is extensive, the uterus is significantly enlarged, menstrual pain is severe and progressively worsens, heavy menstrual bleeding leads to severe anemia, or pelvic adhesions are present, affecting fertility.

Normally, adenomyosis is a benign condition caused by the invasion of endometrial tissue into the uterine muscle layer. Most cases are not serious, although a few may cause severe symptoms that affect daily life. If abnormalities occur, timely medical consultation is recommended. Detailed analysis is as follows:

When the lesion is localized and symptoms are mild, it may only manifest as slight abdominal pain during menstruation, with no significant increase in menstrual flow and without anemia or pelvic adhesions. It has minimal impact on daily life and fertility, and symptoms can usually be relieved with medication, without requiring extensive treatment.

If the lesion is extensive, the uterus is significantly enlarged, and menstrual pain is severe and progressively worsening, heavy menstrual bleeding may lead to severe anemia or pelvic adhesions affecting fertility. These situations can notably reduce quality of life and are considered more serious, requiring active intervention to prevent disease progression.

After a confirmed diagnosis of adenomyosis, regular follow-up examinations are necessary to monitor symptom changes. Prompt medical attention is needed if severe pain or excessive menstrual bleeding occurs. Treatment options, including medication or surgery, should be selected under a physician's guidance. Additionally, maintaining warmth during menstruation can help reduce discomfort.