Endometriosis and adenomyosis and pregnancy

Endometriosis Heal Naturally - Free Top 5 'Quick Start' Tip

We included 206 pregnant women with endometriosis: 148 (71.8%) with endometriosis only, 38 (18.4%) with focal adenomyosis and 20 (9.7%) with diffuse adenomyosis. Adenomyosis was diagnosed using ultrasonography and was classified as focal or diffuse. The study included patients who conceived spontaneously or by an assisted reproductive technique notypes of endometriosis specifically correlate with the JZ thickening.Also,hereditary,biochemical,andgeneticaspects as clonality of adenomyosis are poorly investigated. The association of endometriosis and adenomyosis with placenta previa, pregnancy hypertension and SGA babies has been discussed in a recent systematic review (3) and meta. I've been diagnosed with adenomyosis with months ago and was in pain but only a day a month..I was supposed to have an operation early September but I had a gut feeling to do a pregnancy test because I was missing my period and here it go I'm pregnant...so happy..I had an ultrasound in June to check the adenomyosis sont I think that help to move the fallopian tubes..no-one told me anything.

Influence of adenomyosis on pregnancy and perinatal

Adenomyosis and endometriosis are both disorders of the endometrial tissue that lines the inside of the uterus. But they develop differently and have some different symptoms. In adenomyosis,.. Hi.I spotted with both mine up to 17 weeks. I didn't get diagnosed with adenomyosis until after both pregnancies so not sure at what point it developed. I got checked out when it first happened to confirm all ok. Then learned to live with it (and the anxiety!). Although had more scans due than usual due to diabetes

Endometriosis and pregnancy outcom

  1. It is contested as to whether adenomyosis affects fertility. As you have endometriosis as well, maybe you could benefit from taking lupron during a couple of months. That would tame your endometriosis (i suspect it will not be bad for ademomyosis too). Cheers
  2. For women in the childbearing range, endometrial hyperplasia or adenomyosis can make it harder to conceive or carry a pregnancy to term. Endometriosis can begin in adolescence and extend throughout the childbearing years. The main difference between adenomyosis and endometriosis is the location of abnormal cell growth
  3. Many women who have adenomyosis also have endometriosis, uterine polys, or fibroids, which are conditions known to cause infertility Many women who have adenomyosis are older For women who do have adenomyosis, it is possible to become pregnant. Treatment for women with adenomyosis to improve pregnancy and live birth outcomes may include
  4. In theory, adenomyosis may present several areas of increased risk to a pregnancy. These would include premature labor, abruptio placenta, and c-section. However, because adenomyosis is often not diagnosed prenatally, I am not aware that we have enough data to draw definite conclusions
  5. With adenomyosis, the inside of your womb gets thicker and bigger, which doesn't usually happen with endometriosis. The enlarged uterus may: Put pressure on your bladder and rectum Change the way..

Pregnant with Endometriosis/Adenomyosis? - April 2015

Adenomyosis - Symptoms, Ultrasound, Pictures, Treatment

Patients with diffuse adenomyosis compared with those with endometriosis only had significantly lower pregnancy-associated plasma protein A (0.61 vs 0.88 multiple of the median, P < 0.001), higher mean uterine artery pulsatility index in the first (2.23 vs 1.67, P < 0.001) and second (1.30 vs 0.94, P < 0.001) trimesters of pregnancy, and higher. Adenomyosis has been found to result in a higher likelihood of preterm birth, small for gestational age, and pre-eclampsia (Razavi et al., 2019). Adenomyosis and endometriosis frequently coexist, so it can be hard to determine how much is one or the other causing these effects (Choi et al., 2017) In women undergoing IVF, rates of implantation, clinical pregnancy per cycle, clinical pregnancy per embryo transfer, ongoing pregnancy, and live birth among women with adenomyosis were significantly lower than in those without adenomyosis. 17 The miscarriage rate in women with adenomyosis was also higher than in those without adenomyosis. 17. For women who are able to get pregnant, adenomyosis can increase the risk of pregnancy complications. Research¹ shows women with adenomyosis have higher instances of miscarriage, preterm birth and other problems during pregnancy. While these risks are scary, they can be mitigated by a close watch from physicians The group analysis found a lower clinical pregnancy rate, a higher spontaneous abortion rate, a lower live births rate, and a higher rate of pregnancy complications in patients with adenomyosis alone or in the presence of endometriosis, when compared to women with endometriosis or infertility only related to the tubal factor (control.

Endometriosis and pregnancy outcome - Fertility and Sterilit

Unlike endometriosis which is when the endometrium grows outside of the uterus, adenomyosis is when endometrial tissue exists and grows the uterine wall. It also causes an enlarged uterus. Unfortunately, the only cure is hysterectomy. When that word came out of my doctor's mouth, it hit me like a ton of bricks Nova IVF Fertility helps a couple with Endometriosis and Adenomyosis become parents. A 39 year old woman and her 44 year old husband, keen to start a family came in for a consult at Nova IVF Fertility in Bangalore. The woman had a medical history of endometriosis and adenomyosis. She had also undergone 1 failed IVF cycle before visiting the. Adenomyosis is a common benign uterine disorder in which ectopic endometrial glands extend into the myometrium. Adenomyosis is increasingly diagnosed in young women, affecting 20%-35% of women of reproductive age. Features of adenomyosis can be seen with either US or MRI, especially with newer imaging technology

Adenomyosis and Pregnancy: Can Adenomyosis Cause Pregnancy

Once pregnant, many women also worry about the effect of their endometriosis on their pregnancy and delivery. Pregnancy does not cure endometriosis, but symptoms appear to improve during pregnancy. This is because higher progesterone levels can suppress the endometriosis The frequent coexistence of endometriosis and adenomyosis impairs our ability to understand precisely the specific role of adenomyosis itself . In conclusion, together with decreased ART outcome, adenomyosis is associated with increased miscarriage rates and possibly RPL ( 78 , 96 ) The impact of adenomyosis on pregnancy rates following surgery for both rectovaginal and colorectal endometriosis was reviewed in five articles from 2005 to 2010. 32,43-46 Diagnosis of uterine adenomyosis based on TVS, 44 MRI, 32 and both TVS and MRI. 43,45,46 Among the five selected studies, the criteria for the presence of adenomyosis were. While endometriosis involves the tissue that normally lines the uterus (AKA the endometrial cells) growing outside the uterus, adenomyosis occurs when those same cells grow into the uterine wall

Pregnancy, Endometriosis & Adenomyosis (7 Posts) Add message | Report. Sarnie001 Fri 09-Jan-15 20:18:16. Hello I'm wondering if anyone has experience of this? I was diagnosed with Endometriosis and Adenomyosis last year (after a couple of years of pain). I had a laparoscopy in April last year for the Endo where they also found three tiny. I hope my story can give some hope to other women out there experiencing fertility struggles. I feel like if I could go on to conceive and carry a baby to term with severe endometriosis and adenomyosis then there really is hope for other people too. Katie also has her own inspiring fertility story to tell

This is an old post, but as I said, I was told that I most likely had adenomyosis - as far as I know, it isn't diagnosed for sure unless you have a hysterectomy. I have a long history of endometriosis - ovarian cysts, tube removal, ovary removal and the Adenomyosis 'diagnosis' - and I have two kids Adenomyosis has a negative impact on fertility and pregnancy. 22 Women with adenomyosis are more likely to have premature delivery or premature rupture of membranes. 23 Adenomyosis can also have a detrimental effect on IVF outcomes, reducing pregnancy rate and live birth rate. 2

Incidence and Estimated Prevalence of Endometriosis and

  1. Adenomyosis in pregnancy has thus been shown not only to increase incidences of preterm delivery, SGA infants, and abnormal placental positioning (as has been demonstrated in pregnant women with endometriosis), but also to increase the rates of other obstetric complications such as late spontaneous abortion, HDP, and fetal malpresentation. 16.
  2. While endometriosis and adenomyosis often coincide, and can cause similar sorts of pain, these are two separate conditions with different treatments. Adenomyosis and pregnancy
  3. Adenomyosis is a thickening of the uterus and occurs when endometrial tissues move into the walls of uterus. Schumer, who began IVF in January, said that she had her husband, Chris Fischer, are.
  4. 1 INTRODUCTION. The frequency of adenomyosis in pregnancy has been increasing in recent years, along with the increase in the number of pregnancies in women of advanced age and the increase in pregnancies achieved by fertility treatments. 1 Adenomyosis has been reported to be associated with poor pregnancy outcomes, including an increased risk of preterm delivery, preterm premature rupture of.

Getting pregnant with endometriosis is possible, though it may not come easily. Up to half of the women with endometriosis will have trouble getting pregnant. The likelihood of having fertility problems depends on your age, your partner's fertility, and how severe the endometriosis is Of note, adenomyosis, which is frequently associated with endometriosis 24 (Box 1), independently and negatively affects ART outcomes, with reduced chances of pregnancy and live birth as well as. Clinical pregnancy rates with or without adenomyosis were 36.0% and 42.6%, respectively. We found no significant difference in clinical pregnancy rates between the groups. Conclusion: There is a possibility that surgical removal of coexisting adenomyosis positively effects fertility outcomes in women with rectovaginal endometriosis

Adenomyosis and Fertility: Can You Get Pregnant and What

During pregnancy, the lining of the uterus is not shed, therefore the endometriosis growths do not bleed. They gradually shrink throughout the pregnancy, and may cause fewer problems after delivery. Unfortunately, many women with endometriosis have trouble getting pregnant until the endometriosis is removed via surgery Endometriosis of the uterus, the proliferation of the endometrium (inner layer) of the uterus, also called adenomyosis. The function of the endometrium includes a periodic, cyclical, increase in the thickness of the tissue layer so that a fertilized cell can linger in it (this is how pregnancy begins) These include ectopic pregnancy (when the fetus develops outside the uterus), preterm labor (onset of contractions and labor before 37 weeks of gestation), miscarriage (loss of pregnancy), or placental abruption (placental detachment from the uterine wall). Endometriosis may increase the risk of these complications in some cases Endometriosis and adenomyosis are defined by the presence of endometrial glands and stroma, located outside the uterus and in the myometrial wall, respectively 1. The eutopic endometrium, as well as the inner myometrium, in patients affected by endometriosis and/or adenomyosis, shows several functional and structural abnormalities 1. These.

Adenomyosis vs. Endometriosis: Symptoms, Causes, and Treatmen

The National Endometriosis Society trading as Endometriosis UK is a registered charity No. 1035810. Company Limited by Guarantee No: 2912853 Endometriosis, Fertility and Pregnancy This leaflet covers endometriosis and fertility. It provides information for women who hav But the 45-year-old actress said at a BlogHer event in New York City that it was actually a type of endometriosis called adenomyosis that impacted her fertility, Essence reported Since adenomyosis often develops in perimenopausal women with a history of fertility (Parazzini et al., 1997) and might therefore not be associated with a history of endometriosis, the data of this study were also analysed with the exclusion of women older than 36 years of age References. Endometriosis, which affects up to 10 percent of reproductive-aged women, is the presence of endometrial tissue outside of the uterine cavity. It is more common in women with pelvic.

Pregnant with Adenomyosis, now spotting :( - Endometriosis U

  1. The connection between adenomyosis and infertility has been more solidly established in recent years thanks to improvements in ultrasound imaging.While adenomyosis mainly affects women over age 35, it can also affect younger women and often occurs together with endometriosis.. In endometriosis, endometrial tissue starts to grow outside the endometrium and into the muscle layers of the uterus.
  2. ENDOMETRIOSIS, ADENOMYOSIS AND PREGNANCY ENDOMETRIOSIS, ADENOMYOSIS AND PREGNANCY Chun, Daphne 1957-10-01 00:00:00 Professor of Obstetrics and Gynaecology, University of Hong Kong A REVIEW of the literature suggests that pregnancy associated with endometriosis is infrequent partly due to the late age incidence of the disease and partly due to the pelvic pathology associated with it
  3. Endometriosis occurs when tissue is found outside the uterus that appears similar to the lining of the uterus (endometrium). It may grow on the outside of your uterus, ovaries, tubes and even on your bladder or intestines. This tissue can cause pain and adhesions (scar tissue) on the organs it touches.This is not to be confused with adenomyosis which is a condition in which the inner lining of.
  4. Adenomyosis. Adenomyosis is a different condition, in which the endometrial layer of the uterus can be found in small pockets within the actual muscle of the uterus itself, the myometrium. This may sound deceptively similar to endometriosis, as it also involves tissue being found where it shouldn't be
  5. Adenomyosis is sometimes referred to as the 'evil twin sister' of endometriosis. Dr Evelyn Lewin spoke to obstetrician and gynaecologist Dr Alex Polyakov about this painful reproductive.

Adenomyosis and successful FET/pregnancy - Fertility

  1. Our study showed that the type and site of endometriosis, pre-existing or occurring during pregnancy (ovarian endometrioma, DIE, or extrapelvic endometriosis), did not influence pregnancy outcome, whereas a significant correlation was observed between the presence of adenomyosis and pregnancy-induced hypertension (7 pts 24% versus 1 pt 3%; p.
  2. Adenomyosis is a condition where cells from the uterus lining grow into the uterus muscle. It is related to endometriosis and has similar symptoms, such as heavy, painful periods. Diagnosis.
  3. Common influence: Endometriosis and adenomyosis do not cause bloating and weight gain but the hormones that stimulate them do. The progesterone of the 2nd half of the menstrual cycle causes these changes coincidentally. We already feel yucky during this time but to add the discomfort of endometriosis on top of all this hardly seems fair
  4. ation, transvaginal ultrasound, and magnetic resonance imaging (MRI) were performed as a comprehensive preoperative workup. The findings were consistent with bladder endometriosis and a 4-cm right pararectal cystic mass suggestive of adenomyosis externa. Laparoscopic excision of all visible endometriosis was performed

Chronic inflammatory processes affecting the endometrium, as encountered in endometriosis, adenomyosis, and chronic endometritis, alter endometrial receptivity. These disorders are associated with early pregnancy losses and possibly recurrent pregnancy losses (RPL) One of the reasons why it has been difficult to determine whether adenomyosis is a cause for infertility is due to the fact that many women with adenomyosis also have another problem called endometriosis which is well known to cause infertility. Studies have estimated that of women with endometriosis, anywhere from 27% to 70% of those women may.

Risk factors for this condition include a history of pregnancy as well as a history of uterine surgery, such as a C-section or fibroid removal. Adenomyosis is related to another common fertility ailment called endometriosis. Our Austin fertility doctors treat many women with endometriosis. This condition affects 10% of reproductive-aged women Fertility and Sterility: Pain in the upper anterior-lateral part of the thigh in women affected by endometriosis: study of sensitive neuropathy. Journal of Bodywork and Movement Therapies : A. Adenomyosis and fertility. Close. 11. Posted by 2 months ago. Adenomyosis and fertility. Hi everyone. I just got my diagnosis earlier this week - I have ovarian cysts, endometriosis, fibroids and adenomyosis. I've only had a few consultations with gynecology Dr's (I'm in UK, everything has been through NHS). But I've been told based on my pain. Adenomyosis and Fertility . Whilst adenomyosis is increasingly diagnosed in women with endometriosis, the precise role of adenomyosis in infertility remains controversial and whether adenomyosis.

The cause of adenomyosis is unknown. As with endometriosis, genetics can play a part, meaning that if you have a family history of adenomyosis, you're more likely to develop it. There is no clear way to prevent adenomyosis from developing. Diagnosing and treating adenomyosis. Adenomyosis can be even more difficult to diagnose than endometriosis Endometriosis is a common, benign, and chronic disease in women of reproductive age that is characterized by the occurrence of. endometrial. tissue outside the uterus. The etiology of endometriosis is not yet fully established; however, retrograde menstruation is one of several factors involved. Symptoms include Adenomyosis vs endometriosis. Although women with adenomyosis can also have endometriosis, they are different conditions. With endometriosis, endometrial tissue - the tissue that lines the inside of the womb - is found outside the uterus - for example, on the Fallopian tubes or the ovaries.. We don't know exactly why adenomyosis happens, but there are several theories Fifteen on-demand webcasts deliver insight into Fibroids, Adenomyosis and Fertility-Related Conditions, and Endometriosis and Chronic Pelvic Pain. Also included are seven webcasts, recorded from the March 20 live stream course, that provide you the opportunity to watch noteworthy keynote presentations, engaging surgical procedures, and. Adenomyosis is a disease where the glands that line the uterine cavity (the endometrium) are growing into the muscle of the uterus (the myometrium). In the past adenomyosis was considered a form of endometriosis, a disease in which the glands that normal grow in the endometrium grow outside of the uterus

Adenomyosis is similar to endometriosis, but not as many people have heard of it. Many people have heard of endometriosis, but far fewer are familiar with adenomyosis. Similar to endometriosis, this condition occurs when the tissue that usually lines the uterus grows where it shouldn't. Specifically, it grows into the muscular wall of the uterus Adenomyosis & Fertility Adenomyosis is increasingly diagnosed in women with endometriosis, but the precise role of adenomyosis per se in infertility remains controversial Adenomyosis. It is a condition in which the endometrium breaks through the uterus wall. It can lead to bloating, heavy periods, the pressure in the lower abdomen and cramps during menstruation. The condition might exist in various areas of the uterus or concentrated at one spot. It can lead to loss of pregnancy and failure of implantation


Adenomyosis (AM) and endometriosis (EM) often coexist. Laparoscopic surgery is one of the main methods for diagnosing and treating these conditions. This study aims to investigate the pregnancy outcomes of women with infertility with both AM and EM after laparoscopic surgery and to identify the relevant associated factors. This is a retrospective study involving women with infertility. Endometriosis and adenomyosis not only cause symptoms such as dysmenorrhea, chronic pelvic pain, and infertility, but have also recently been implicated in a range of obstetric complications. The association between endometriosis and adenomyosis and adverse pregnancy outcomes has been developing as a new topic in the field of reproductive.

Pregnancy outcomes in women with infertility and coexisting endometriosis and adenomyosis after laparoscopic surgery: a long-term retrospective follow-up study Jinghua Shi1,2, Yi Dai1,2, Junji Zhang1,2, Xiaoyan Li1,2, Shuangzheng Jia1,2 and Jinhua Leng1,2,3* Abstract Background: Adenomyosis (AM) and endometriosis (EM) often coexist And since many of these women also have endometriosis, fertility is affected. Furthermore, statistics show that adenomyosis mostly happens in middle-aged women. This group naturally has lower pregnancy rates. So with the condition, the chances of pregnancy drop further. Getting the right fertility treatmen Adenomyosis is another condition which may also affect women with endometriosis. The actual incidence is not known, but Dr. Sinervo feels that as many as 20-30% of endometriosis patients may have adenomyosis. Evidence shows a potential link between adenomyosis and infertility, however, there is no direct link CIGC Infertility Series Part II: Infertility & Endometriosis, Surgical Removal Increases Pregnancy Rates, Decreases Pain. Endometriosis is a common yet mysterious cause of infertility. Although the reasons are not clear - current thinking is that endometriosis decreases pregnancy rates by affecting the quality of the eggs being produced

Between 1990 and 1998, endometriosis was the third most common gynecologic diagnosis listed in hospital discharge summaries of women 15 to 44 years of age. 1 The prevalence of endometriosis in the. Adenomyosis is a form of endometriosis, which affects the uterus Endometriosis is an invisible disease that involves the lining of the uterus and reproductive organs. The chronic disorder causes the tissue that typically lines the uterus to grow on other parts of the body, such as the bladder, the bowels, and the ovary Endometriosis and Pregnancy: 7 Essential Facts. There are lots of myths and misconceptions about endometriosis and pregnancy. Here's the straight 411 This is rather nearer to those of generally reported postoperative pregnancy rates after surgery of severe endometriosis (30-50%).6, 18, 19 The significantly higher age could be considered as a reason for the relatively lower clinical pregnancy rate in the group with adenomyosis 2 min read. Hi, Lisa here, this is my fertility journey with PCOS, Adenomyosis, and Endometriosis. I have had painful, heavy periods for as long as I remember. Every month I would crawl into bed with a hot water bottle hoping it would soothe my pain. The pain was excruciating. I would be vomiting, have diarrhea and I would miss school as a result

Comorbidities such as endometriosis can confound the picture in patients with adenomyosis, a condition that may lead to poor IVF outcomes. This quiz goes over the major takeaways from our November 2018 article, Adenomyosis and its impact on fertility. 1. Most cases of adenomyosis affect women aged: A. 15-19 years. B. 20-30 years. C. 31-39 years Experts are unsure whether adenomyosis directly affects fertility; displacement of normal tissue and abnormal blood flow within the endometrium have the potential to cause problems with conceiving and carrying a baby. A 2005 study found that 79% of women with fertility issues had both endometriosis and adenomyosis;. Endometriosis and pregnancy (and breastfeeding) by Ros Wood. Pregnancy generally leads to an improvement in endometriosis symptoms, particularly during the latter months of pregnancy. However, some women experience a worsening of symptoms, particularly during the first three months Endometriosis Versus Adenomyosis These two conditions are often confused as they are both associated with the uterine lining and have similar symptoms. However, in adenomyosis, endometrial cells appear to be growing in the muscular walls of the uterus, whereas, in endometriosis, the endometrial lining spreads outside of the uterine cavity into.

The face of endometriosis | TODAY

Uterine adenomyosis causes the inner lining of the uterus to grow into the muscle wall of the uterus (myometrium) causing heavy, painful menstrual periods. Adenomyosis is often seen with other uterine problems such as endometriosis. In endometriosis, endometrial cells (the lining of the uterus) grow outside of the uterus. Both adenomyosis and endometriosis cause pain, but endometriosis does. Becoming pregnant may be more difficult for women with endometriosis.However, many women with endometriosis do get pregnant and have healthy babies. This article discusses the effect of pregnancy. Therefore, zone hyperplasia, adenomyosis, and endometriosis may be related to an aberrant angiogenesis in the myometrial JZ. 65 Menstruation is widely viewed as serving no purpose other than to reinitiate the endometrial cycle in the absence of pregnancy. Yet, menstruation and pregnancy are both inflammatory conditions that cause a degree of. Carolyn. The new occurrence of cyclic menstrual pain in the decade of the 40's could be due to endometriosis, uterine fibroids, partial cervical stenosis or adenomyosis. By far the most likely cause of these painful menstrual cramps at this time is adenomyosis. This is sometimes called endometriosis interna or internal endometriosis

Endometrial Hyperplasia, Adenomyosis and Endometriosis

Berberine has not yet been studied for endometriosis but it has been studied for adenomyosis, which is a similar disease. In one study, researchers were able to demonstrate that berberine ameliorates the LPS-induced progression of adenomyosis. Berberine is not safe during pregnancy and can interact with other medications Endometriosis and adenomyosis are associated with inflammation. I have had women who changed to an anti-inflammatory diet, cut out gluten or dairy products and got better. These cases may support that there is often not a single cause of pelvic pain, but that other organs or systems such as the gut are involved

Pregnant with Adenomyosis: Symptoms & Fertilit

ditional endometriosis. In cases of subtotal hysterectomy, laparoscopic in bag morcellation of the uterine cor-pus should be performed in order to avoid iatrogenic new onset intraperi-toneal or retroperitoneal adenomyosis, endometriosis, metastatic myomatosis, sarcoma or late onset malignant trans-formationofuterinetissue.Abdominal Adenomyosis and Endometriosis. YouTube. In this webinar, we talk to Consultant Gynaecologist Liza Ball about adenomyosis. We discuss what the condition is, the symptoms, and how to help manage the condition. If you are concerned that you may have adenomyosis, please consult your medical practictioner

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One in five patients diagnosed with endometriosis after age 30 have adenomyosis or have an increased risk of developing the disease. 50% of patients with adenomyosis also have fibroids. Patients with adenomyosis often also have anemia, or a deficiency in blood cells or hemoglobin, which results in pallor and a weak appearance Objective . The aim of the study is to evaluate adenomyosis in patients undergoing surgery for different type of endometriosis. It is an observational study including women with preoperative ultrasound diagnosis of adenomyosis. Demographic data and symptoms were recorded (age, body mass index, parity, history of previous surgery, dysmenorrhea, dyspareunia, dyschezia, dysuria, and abnormal. Adenomyosis (or internal endometriosis) occurs when the tissue lining the uterus penetrates the myometrium (or muscular layer) of this organ.This condition affects fertility by interference with sperm transport or the embryo implantation process.. In-Vitro Fertilization (IVF) is the recommended treatment to achieve pregnancy in patients suffering from adenomyosis, since it allows our. Endometriosis is a common condition that can cause pelvic pain and difficulty getting pregnant. The endometrium is the name for the inner lining of the uterus. In people with endometriosis, cells like those normally found in the endometrium grow outside of the uterus ( figure 1 ). When these endometriosis cells grow, they cause inflammation. Adenomyosis. Adenomyosis refers to endometrial tissue inside the myometrium (muscle layer of the uterus). It is more common in later reproductive years and those that have had several pregnancies (multiparous). It occurs in around 10% of women overall. It may occur alone, or alongside endometriosis or fibroids