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A 39-year-old female asked:

i'm 39. severe cramps after period, radiate to l side & low back w/some vag. pain. lots of clots during period. s/p c-sections x3 w/tubal 4 yrs ago w/last c-section. tv us w/enlarged uterus - no fibroids (what doc thought it was). ?

1 doctor answer4 doctors weighed in
Dr. Ralph Boling
Obstetrics and Gynecology 39 years experience
Likely adenomyosis: Pockets of normal endometrial cells can become embedded in the muscle wall of the uterus causing swelling of uterus, pain and heavier bleeding. This a variation of endometriosis, formerly called internal endometriosis.

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Last updated Mar 16, 2021

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