{"id":8410,"date":"2024-01-03T10:08:01","date_gmt":"2024-01-03T09:08:01","guid":{"rendered":"https:\/\/endometriose-oesterreich.at\/all-about\/endometriosis\/adenomyosis\/"},"modified":"2026-04-28T10:50:36","modified_gmt":"2026-04-28T08:50:36","slug":"adenomyosis","status":"publish","type":"page","link":"https:\/\/endometriose-oesterreich.at\/en\/all-about\/endometriosis\/adenomyosis\/","title":{"rendered":"Adenomyosis"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; module_alignment=&#8221;center&#8221; da_disable_devices=&#8221;off|off|off&#8221; global_colors_info=&#8221;{}&#8221; da_is_popup=&#8221;off&#8221; da_exit_intent=&#8221;off&#8221; da_has_close=&#8221;on&#8221; da_alt_close=&#8221;off&#8221; da_dark_close=&#8221;off&#8221; da_not_modal=&#8221;on&#8221; da_is_singular=&#8221;off&#8221; da_with_loader=&#8221;off&#8221; da_has_shadow=&#8221;on&#8221;][et_pb_row _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; width=&#8221;60%&#8221; max_width=&#8221;1080px&#8221; module_alignment=&#8221;center&#8221; custom_margin=&#8221;45px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1>Adenomyosis<\/h1>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><strong>What is adenomyosis?<br \/><\/strong>While the term &#8220;endometriosis&#8221; is becoming increasingly well-known, adenomyosis is still a lesser-known diagnosis. In adenomyosis, similar to endometriosis, tissue islands invade the muscle wall of the uterus (myometrium). However, as there are differences in structure to the classic foci of endometriosis, adenomyosis is now regarded as an independent disease. It can occur both alone and together with endometriosis.   <\/p>\n<p><strong>Prevalence of adenomyosis<br \/><\/strong>The exact proportion of people affected is difficult to determine: Estimates vary between 5 % and 70 % of people of childbearing age. For a long time, adenomyosis was often only diagnosed during a hysterectomy, which makes it difficult to determine the actual prevalence. <\/p>\n<p><strong>Typical symptoms<br \/><\/strong>The most common symptoms include<\/p>\n<ul>\n<li>Heavy menstrual bleeding and pain<\/li>\n<li>Chronic lower abdominal pain<\/li>\n<li>Feeling of pressure in the lower abdomen<\/li>\n<li>Difficult fertility<\/li>\n<\/ul>\n<p>Other complaints may include<\/p>\n<ul>\n<li>Pain during sexual intercourse<\/li>\n<li>Prolonged or acyclic bleeding<\/li>\n<li>Higher miscarriage and premature birth rates<\/li>\n<li>Back pain in the lower back, radiating pain  <\/li>\n<\/ul>\n<p>The symptoms often overlap with those of endometriosis, which makes diagnosis more difficult.<\/p>\n<p><strong>The diagnosis<br \/><\/strong>Adenomyosis can be made by examination using vaginal ultrasound, MRI or a tissue sample after a hysterectomy. Abnormalities such as an enlarged uterus or a uterus whose shape has changed due to the foci (S-shaped presentation of the endometrium on ultrasound) or changes in the muscle wall (thickening of the posterior wall) can provide clues. <\/p>\n<p><strong>Treatment options<\/strong><\/p>\n<p><strong>Hormonal therapy <\/strong><span style=\"font-size: 14px;\">Treatment is symptomatic. There is the option of hormonal therapies, whereby the hormonal IUD is often preferred as it works directly in the uterus. Other options are GnRH analogs and pills with progestogen or combinations of oestrogen and progestogen. <\/span> <\/p>\n<p><span style=\"font-size: 14px;\"><strong>Multimodal pain therapy <\/strong><\/span>Multimodal pain therapy includes somatic, psychological and psychotherapeutic procedures.<\/p>\n<p><strong>Surgical interventions <\/strong>Depending on the extent of the lesions, surgical removal with preservation of the uterus may be an option. Alternatively, a hysterectomy can be performed if the symptoms are resistant to treatment, especially if family planning has been completed and after intensive consultation. <\/p>\n<p><strong>Complementary treatment options <\/strong> Approaches such as herbal preparations, nutritional supplements, physiotherapy, traditional Chinese medicine, herbal teas, physical and exercise therapies, yoga and psychological support.  <\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>AdenomyosisWhat is adenomyosis?While the term &#8220;endometriosis&#8221; is becoming increasingly well-known, adenomyosis is still a lesser-known diagnosis. In adenomyosis, similar to endometriosis, tissue islands invade the muscle wall of the uterus [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":8407,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"footnotes":"","_tec_slr_enabled":"","_tec_slr_layout":""},"class_list":["post-8410","page","type-page","status-publish","hentry"],"ticketed":false,"_links":{"self":[{"href":"https:\/\/endometriose-oesterreich.at\/en\/wp-json\/wp\/v2\/pages\/8410","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/endometriose-oesterreich.at\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/endometriose-oesterreich.at\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/endometriose-oesterreich.at\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/endometriose-oesterreich.at\/en\/wp-json\/wp\/v2\/comments?post=8410"}],"version-history":[{"count":2,"href":"https:\/\/endometriose-oesterreich.at\/en\/wp-json\/wp\/v2\/pages\/8410\/revisions"}],"predecessor-version":[{"id":8412,"href":"https:\/\/endometriose-oesterreich.at\/en\/wp-json\/wp\/v2\/pages\/8410\/revisions\/8412"}],"up":[{"embeddable":true,"href":"https:\/\/endometriose-oesterreich.at\/en\/wp-json\/wp\/v2\/pages\/8407"}],"wp:attachment":[{"href":"https:\/\/endometriose-oesterreich.at\/en\/wp-json\/wp\/v2\/media?parent=8410"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}