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Endometriosis vs. Adenomyosis

Endometriosis and adenomyosis are two closely related but distinct conditions that affect the endometrial tissue of the uterus. Though they present some similar symptoms, both these gynaecological conditions are differentiated by the location of misplaced endometrial tissue. Endometriosis features this tissue growing outside the uterus, while adenomyosis involves its growth within the uterine muscle wall. While both have many health complications, they can be cured. Understanding the difference between endometriosis and adenomyosis is crucial for accurate diagnosis and effective treatment. Read on to know more.

Key Differences

Endometriosis is a condition where endometrial tissue grows outside the uterine walls. It can be seen on the ovaries, fallopian tubes, and other pelvic regions. This condition can cause hormonal changes during the menstrual cycles in women, leading to pain, inflammation, and the formation of scar tissues (adhesions).

Adenomyosis, on the other hand, occurs when the endometrial tissue grows into the uterus' muscular wall (myometrium). This results in an enlarged uterus and can cause heavy/prolonged menstrual bleeding, severe menstrual cramps, and sometimes pain during intercourse.

Condition Endometriosis Adenomyosis
Symptoms Pelvic pain (other than periods), heavy bleeding, pain during/
after sex and during bowel movements or urination, bloating, constipation, nausea, infertility
Enlarged uterus, pelvic pain (during periods), abnormal or heavy bleeding, blood clots during bleeding, pain during intercourse
Causes Unknown. Possible causes include retrograde menstruation, surgical complications, hormonal or immune system issues Unknown. Possible causes include invasive growth caused by surgery, uterine inflammation that occurs after childbirth, stem cells in the uterine muscle walls
Complications Fertility issues, blood in your poop or pee, depression Fatigue, dizziness, anxiety, depression, anaemia
Prevalence Occurs more in women in their 30s and 40s Occurs more in women in the age bracket between 40 and 50 years
Treatments NSAIDs, analgesics, hormone medications, laparoscopy (key-hole surgery) Adenomyomectomy, non-hormonal medications, hormonal contraceptives and intra-uterine devices, hysterectomy

Conclusion

Both endometriosis and adenomyosis present significant challenges and can be diagnosed by pelvic examination, ultrasound, MRI scan, and other diagnostic tests. Early diagnosis and a personalised treatment plan tailored to individual needs are crucial. Don’t hesitate to seek medical attention and explore all available options to improve your quality of life.

One of the important components of our overall wellness is also being financially secured. Healthcare emergencies can happen any time, but a good health insurance policy can protect you from such uncertain situations. To know more about Wellness and other health related tips, visit the Wellness Corner.

Source: healthline, webmd, mayoclinic, my.clevelandclinic

Disclaimer: This blog provides general information and discussions about health and related subjects. The information and other content provided in this blog, website or in any linked materials are not intended and should not be considered, or used as a substitute for, medical advice, diagnosis or treatment. Kindly contact your Doctor before starting a new medicine or health regime.

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Published on July 15, 2024