
Episode Abstract:
Adenomyosis is likely one of the most underdiagnosed circumstances in girls’s well being. It causes heavy durations, power cramping, and fertility challenges—but many ladies are informed their ache is regular or misdiagnosed with endometriosis alone.
On this episode of the Fempower Well being podcast, I share key factors that Dr. Ken Sinervo, Medical Director on the Center for Endometriosis Care, shared in our recent interview. The episode breaks down the science behind adenomyosis, why it’s so usually missed, and what each girl deserves to find out about analysis and therapy.
What Is Adenomyosis—and Why Is It Missed?
Adenomyosis happens when tissue just like the endometrial lining grows into the uterine muscle.Dr. Sinervo describes it as a “bruised muscle impact”—inflicting ache, inner irritation, and strain.
In contrast to endometriosis, which grows exterior the uterus, adenomyosis lives inside the uterine wall—and might’t be eliminated with out eradicating the uterus.
Adenomyosis vs. Endometriosis: Key Variations
Many ladies have each circumstances, however right here’s how they differ:
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Adenomyosis: Inside the uterus; causes heavy bleeding, cramping, again ache
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Endometriosis: Outdoors the uterus; linked to bowel/bladder signs, fatigue, and infertility
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Prognosis: Adenomyosis requires imaging (ultrasound or MRI); endometriosis usually requires laparoscopic surgical procedure
Why Prognosis Is So Tough
Dr. Sinervo explains why many clinicians overlook adenomyosis:
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It mimics signs of endometriosis and fibroids
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Imaging could be inconclusive
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OB-GYN coaching doesn’t all the time emphasize it
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Many sufferers aren’t taken severely
Remedy Choices for Adenomyosis
Preserving fertility? Think about:
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Progesterone IUDs (e.g. Mirena, Liletta)
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Hormonal therapies (oral or vaginal)
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Life-style approaches (anti-inflammatory food regimen, pelvic PT)
Why Consciousness Issues
Delayed analysis isn’t simply irritating—it may well result in years of pointless surgical procedures, failed fertility remedies, and preventable struggling.
By understanding adenomyosis, sufferers and clinicians could make knowledgeable, personalised selections about care.
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Disclaimer
The knowledge shared by Fempower Well being will not be medical recommendation however for informational functions to allow you to have simpler conversations together with your physician. At all times discuss to your physician earlier than making health-related selections. Moreover, the views expressed by the Fempower Well being podcast company are their very own and their look on this system doesn’t indicate an endorsement of them or any entity they signify.
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