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Doctor insights on: Adenomyosis Vs Fibroids

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What should I do if I have adenomyosis w/ fibroids?

What should I do if I have adenomyosis w/ fibroids?

Surgery if Symptoms: No medication permanently shrinks fibroid tumors, nor adenomyosis. If you have symptoms options exist to help improve them:

birth control pills or Mirena (levonorgestrel) iud may lessen period bleeding and cramps.

Hysterectomy (fibroid uterus removal), preferably laparoscopic or vaginal routes, best choice if family complete. ...Read more

Dr. Heidi Fowler
9 Doctors shared insights

Fibroids (Definition)

Uterine fibroids are the most common pelvic tumor in women. 1 of every 3 women of child-bearing age have these tumors and up to 80% of african-american women have fibroids. They are often asymptomatic but they can also cause significant symptoms. It is the most common cause of heavy menstrual bleeding. Pelvic pain and increased urinary frequency ...Read more


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Can nuvo ring create state of menopause and in turn shrink fibroid or adenomyosis?

Can nuvo ring create state of menopause and in turn shrink fibroid or adenomyosis?

No: Nuvaring does not create a state of menopause. It can affect and decrease your natural hormones. There can be some effect of fibroids, very little on adenomyosis. ...Read more

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Has pel/us done what does this mean? Suggestive of adenomyosis and small fibroids.

Has pel/us done what does this mean? Suggestive of adenomyosis and small fibroids.

Pelvic ultrasound: Adenomyosis is also called internal endometriosis and occurs when the lining cells of your uterus get down in the muscle. They bleed every month with your period essentially causing a deep bruise in the uterus and pain with your period. Fibroids are smooth muscle tumors of the uterus and are the most common pelvic tumors. They can rarely become malignant. This is usually diagnosed by rapid growth. ...Read more

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I have been diagnosed with subserosal fibroids and adenomyosis. I am 49 yrs old. Should I do an ablation or hysterectomy?

I have been diagnosed with subserosal fibroids and adenomyosis. I am 49 yrs old. Should I do an ablation or hysterectomy?

Ablation vs. Hyst: When looking at the difference between a hysterectomy or ablation, it is important to keep in mind which symptoms are needing treatment, and length of recovery. An ablation can be successful in treating abnormal or heavy bleeding, but less successful in addressing issues of pain. A hysterectomy is invasive and requires a recovery time of weeks instead of days. ...Read more

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What's adenomyosis, what exactly is fibroids? How are these things treated? My gyno put me on necon 1/32 consecutively to stop cyst growth, so now what?

What's adenomyosis, what exactly is fibroids? How are these things treated? My gyno put me on necon 1/32 consecutively to stop cyst growth, so now what?

Adenomyosis: Adenomyosis is when tissue just like the uterine lining grows into the wall of the uterus. Fibroids are smooth muscle tumors that grow in the wall of the uterus. Both conditions are common and can cause bleeding abnormalities, pain and other gyn issues. Ultrasound can tell more about these problems. ...Read more

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Can uterine fibroids and/or adenomyosis reoccur after having a hysterectomy?

No, not really: Adenomyosis is when the lining cells of the uterus are located just deep to the lining (but still within the uterus). It can be thought of as endometriosis of the uterus. Hysterectomy would remove this. Almost all fibroids are in the uterus also and would be removed with hysterectomy, although there are fibroids on rare occasions outside the uterus which could be missed/reoccur but very rare. ...Read more

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They diagnose me as adenomyosis plus fibroid I got severe bleeding my dr advise me with visanne am taking it for 8 months I stopped but no period?

They diagnose me as adenomyosis plus fibroid I got severe bleeding my dr advise me with visanne am taking it for 8 months I stopped but no period?

Obgyn follow up: Consider scheduling a follow up visit with your Obgyn. Now that your Visanne treatment is finished you and your doctor can discuss the next step. Treatment options often depend on the age of the patient and their future plans for pregnancy. ...Read more

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Diffuse heterogeneity of the uterine myometrium w/o discrete mass sugg of adenomyosis and small fibroids pls explain the meaning of my US. WORRIED?

Adenomyosis: Your sonogram from what you have written is suggestive of adenomyosis. Women who have adenomyosis usually have pelvic pain chronically or severe pain just during their periods. Typical medications that women use to combat the pain are Motrin, Naprosyn, (naproxen) Alleve. There are birth control methods that can stop or decrease periods--Depo-Provera which can also be used to help with the pain. ...Read more

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What is the treatment for adenomyosis, heterogeneous, and fibroids? My gyno put me on necon 1/32 last yr after surgery but obviously that's not working

Try embolization: There are many options for fibroids, but relatively few for adenomyosis. If hormonal therapies don't work the choices are limited. Hysterectomy is curative, but difficult to consider in a young woman. There is emerging evidence that embolization can provide good results for adenomyosis as well as fibroids and allow uterine preservation and at least a chance of fertility. ...Read more

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Heavy uterine bleeding 3 weeks pelvic/transvaginal us hyperechoic uterine fundal myometrial focus may represent atypical fibroid or adenomyosis?

Heavy uterine bleeding 3 weeks pelvic/transvaginal us hyperechoic uterine fundal myometrial focus may represent atypical fibroid or adenomyosis?

Bleeding: Since its a focal area its more likely to be adenomyosis, which typically gets progressively worse as you age. However, you're also at the age when ovarian dysfunction often causes irregular, heavy and/or prolonged bleeding. You might be a good candidate for an endometrial ablation assuming you are done with having babies. ...Read more

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I am 54. I got a child 28 ys old. My report says I got bulky uterus showing finding suggestive of adenmyosis with intramural fibroids and one subserou?

Talk with your doc: Adenomyosis is when the lining of the uterus grows through the muscle of the uterus. This can cause pain and abnormal bleeding. Intramural fibroids are usually non cancerous. They can cause pain and abnormal bleeding.
Your fibroids are in the muscle of the uterus (intramural) and on the surface of the uterus (subserousal). See your doctor for treatment options. ...Read more

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I am overweight and previous c sections. I have fibroids and adenmyosis. I have been given the option of mirena (levonorgestrel) coil or ablation which one is the best?

I am overweight and previous c sections. I have fibroids and adenmyosis. I have been given the option of mirena (levonorgestrel) coil or ablation which one is the best?

Mirena (levonorgestrel): You have enough risk factors that the ablation isn't worth it. Try mirena, (levonorgestrel) if that doesn't work, hysterectomy of a type would be a better choice. The risk of failure after an ablation seems high to me. At age 34, you have an average of another 17 years until menopause. This is a long time for an ablation to be a good enough fix for the number of problems that you have. If Mirena (levonorgestrel) works, great. ...Read more

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What is the treatment for adenomysis? I am 41 single and remove my uterus fibroid once and twice for ovary cyst

What is the treatment for adenomysis? I am 41 single and remove my uterus fibroid once and twice for ovary cyst

Hysterectomy: Adenomyosis is endometriosis in the wall of the uterus. Symptoms of adenomyosis can include heavy bleeding, severe dysmenorrhea, pain with intercourse, and uterine enlargement. Sometimes the sypmtoms of adenomyosis are treatable with oral contraceptives and over the counter pain medications, but the definitive treatment is hysterectomy. ...Read more

Dr. Tiffanie Noonan
3 Doctors shared insights

Fibroid (Definition)

A leiomyomata (fibroid) is a smooth muscle growth in the uterus that is rubbery, binds the female hormone estrogen and can grow to "epic" proportions causing distortion of the uterus. They cause bleeding, and burning pain (aka "fireball tumor") as ...Read more


Dr. John Lipman
660 Doctors shared insights

Uterine Fibroids (Definition)

Abnormal growths that develop in or on a woman’s uterus. It is unclear why fibroids develop, but hormones and family history may influence their formation. Approximately 70% to 80% of women aged 50 ...Read more