What even is Adenomyosis?
April is Adenomyosis Awareness Month!
…but what even is adenomyosis?
Adenomyosis is when the cells in the lining of the uterus, the endometrium, grow into the muscle wall of the uterus, the myometrium. These endometrial cells damage the uterine wall and typically end up enlarging the uterus. It’s actually a fairly common condition and can affect around 1 in 10 women. Some of the most common symptoms are heavy menstrual bleeding, pelvic pain, and infertility. Since many of the symptoms of adenomyosis overlap with the symptoms of endometriosis, and they can occur at the same time, it can make diagnosis particularly challenging. What makes them different though is the location of the endometrial cells. With adenomyosis the endometrial cells are growing into the uterine muscle while with endometriosis they are growing outside of the uterus.
Some patients with adenomyosis may not have any symptoms while others may experience recurrent pain or other debilitating symptoms. People can be at higher risk of developing adenomyosis if they’re 40-50 years old, have endometriosis, and have a history of procedures done on their uterus. While most patients are diagnosed around 40-50, an increasing number of younger patients with infertility are being diagnosed as healthcare imaging improves. The exact causes of adenomyosis are unknown but could be related to hormonal factors, genetic factors, and/or a history of uterine trauma.
Although pelvic physical therapists aren’t curing adenomyosis, we are an important part of the care team! We are experts at treating any issues relating to chronic pelvic pain who also examine and treat through a whole body lens. As a specialist in musculoskeletal health, a physical therapist can observe how a person’s body has reacted to pain. Some of the questions that we might ask are:
Are you experiencing any bowel and/or bladder issues?
Are you experiencing pain or challenges with sexual activity?
Are you using your muscles differently to avoid pain?
Many pelvic physical therapists are trained in visceral mobilization which can be very helpful in aiding in improved tissue mobility which helps decrease pain. We are also invested in making sure our patients have appropriate and individualized tools for stress management, pain management, good sleep hygiene, healthy nutrition, and healthy hydration practices so you can live your life to the fullest!