April is Adenomyosis Awareness Month. Although adenomyosis is a relatively common condition, it is still largely shrouded in mystery. In this article, let's debunk 5 common myths associated with it.
What is adenomyosis?
Adenomyosis is a condition in which the lining of the uterus (endometrium) grows into the muscular wall of the uterus. These cells behave the same way during menstruation as they do in the uterine cavity – they bleed. However, because they are enclosed within the muscle layer, the blood cannot drain freely. This creates small pockets of blood within the muscle tissue, which can cause pelvic pressure, painful menstruation, and other unpleasant symptoms.
Myth #1: Adenomyosis always manifests as heavy and painful menstruation
Heavy menstrual bleeding, pain, or discomfort in the pelvic area are common symptoms of adenomyosis, but they do not necessarily occur in all patients. Adenomyosis affects approximately one in ten women, yet many of them are unaware of it – almost a third have no symptoms. (1) Conversely, the list of symptoms does not always end with painful menstruation. Many women also suffer from bladder or rectal pressure, pain during intercourse, or chronic fatigue.
Migraine or vulvar pain? Read the article about menstrual symptoms you might not know about.
Myth #2: Adenomyosis is the same as endometriosis
Although these two diagnoses differ, they are not mutually exclusive. Studies suggest that women with adenomyosis may also have endometriosis. (2)
Myth #3: Adenomyosis necessarily leads to infertility
Adenomyosis leads to chronic inflammation in the uterine tissue, which can affect the structure of the uterine lining and create an inhospitable environment for a fertilized egg. This can reduce the chance of successful embryo implantation and maintenance of pregnancy. In severe cases, adenomyosis can lead to infertility, but it does not mean that it always prevents pregnancy.
Determining the extent to which adenomyosis causes conception problems can be complex, as it is often a combination of several factors. Statistically, older women suffer from endometriosis, and with increasing age, the quality and number of eggs naturally decrease. In addition, adenomyosis often occurs together with endometriosis or uterine fibroids, which can also affect fertility. However, many women with adenomyosis can still get pregnant, even without the need for treatment. There are also options to support the fertility of women with adenomyosis, including assisted reproduction.
Read a woman's story: I had my eggs frozen
Myth #4: Pregnancy cures adenomyosis
Adenomyosis is highly dependent on estrogen levels, and during pregnancy, there may be a temporary alleviation of symptoms as hormonal changes during this period can suppress the condition. However, symptoms often return after childbirth. In addition, natural birth or uterine surgery, such as a C-section or fibroid removal, can lead to extensive changes in the uterus, which can worsen symptoms. Therefore, pregnancy can temporarily alleviate symptoms, but it should not be considered the sole or permanent treatment for adenomyosis.
Myth #5: Hysterectomy is the only hope
Methods of treating adenomyosis depend on the severity of symptoms and whether the woman plans to become pregnant. Hormonal therapy is one of the common approaches that helps regulate the menstrual cycle, slow down the growth of the uterine lining, and thus alleviate symptoms. Another option may be uterine artery embolization. This method reduces blood supply to the affected tissue, which can lead to relief from discomfort. In extreme cases, when other methods have failed and the woman does not plan to become pregnant, hysterectomy, surgical removal of the uterus, which represents a permanent solution for adenomyosis, may be considered.
Do you suspect adenomyosis?
Adenomyosis and its symptoms can sometimes appear almost invisible to those around you, and due to the diverse and non-specific symptoms, its diagnosis can be a long process. But that doesn't mean your symptoms are "just in your head," or that pain should be a natural part of your menstrual cycle.
However, if you suspect adenomyosis (or endometriosis), do not underestimate your problems and do not let it go too far. Monitor your menstrual cycle and record your symptoms, consult with doctors, and don't let them dismiss you.
Do you have experience with problematic menstruation or have you been diagnosed with adenomyosis, endometriosis, or PCOS and would you like to share your story? Write to us at poradna@femvie.com.
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With love
the Femvie team
Femvie products that can help you
We have selected products related to this topic that can support your health:
- 🌿 Endometriosis support complex — specially formulated supplement for women with endometriosis
- 📖 Handbook: Anti-inflammatory diet for endometriosis — 6 + 1 ways to naturally reduce pain with nutrition
- 💊 Magnesium — supports muscle relaxation and spasm relief
- 🩹 Menstrual patches — natural relief from painful menstruation
- 🎯 Endometriosis support package — complete set for daily support
Frequently Asked Questions
How do I know if I have endometriosis?
Endometriosis is characterized by severe painful menstruation, pain during intercourse, fatigue, and digestive problems. The only way to definitively confirm it is laparoscopy. If the symptoms limit you in your daily life, consult a gynecologist.
How long does it take to get a diagnosis?
The average time from the first symptoms to a diagnosis of endometriosis in the Czech Republic is 7–10 years. Many women are dismissed for a long time, being told that painful menstruation is normal.
Can endometriosis be treated naturally?
Endometriosis cannot be completely cured, but symptoms can be naturally alleviated with an anti-inflammatory diet, nutritional supplements, exercise, and stress reduction. Natural support does not replace medical care but can significantly improve quality of life.
Are organic menstrual products better for women with endometriosis?
Yes. Conventional tampons and pads can contain pesticides and chemicals that irritate sensitive tissue. Femvie's organic cotton products are certified and free of harmful substances.
