Following March's Endometriosis Awareness Month, let's take a moment to discuss adenomyosis. April is the month dedicated to raising awareness for another common women's health condition closely related to endometriosis: adenomyosis.
What is adenomyosis?
Adenomyosis is a condition where the tissue that lines the uterus grows into the muscular wall of the uterus. (1) In many cases, it is confused with endometriosis, and sometimes it's not entirely clear how these two conditions differ, especially since both involve the uterine lining, or endometrium.
So, what is the difference between these two conditions?
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Adenomyosis Uterine cells implant inside the uterine wall, specifically in the smooth muscle located between the inner and outer layers of the uterus. |
Endometriosis Tissue similar to the uterine lining grows outside the uterine cavity, attaching to the outside of the uterus and other organs (usually) in the abdomen. |
Menstruation with adenomyosis
In both of these female conditions, the endometrial cells respond to hormones during the menstrual cycle similarly to the uterus itself – they bleed during menstruation.
In the case of adenomyosis, the cells within the muscular wall behave like uterine cells. During menstruation, they start to bleed, but because they are trapped within the muscular layer, they form small pockets of blood in the uterine muscle wall. This causes pain, cramping, and other unpleasant menstrual symptoms.

Symptoms of adenomyosis
The symptoms of adenomyosis are very similar to those of endometriosis. They usually include:
- Heavy and painful periods
- Chronic pelvic pain
- Difficulty conceiving or infertility
A common symptom can also be pressure on the bladder and rectum, which is not usually directly associated with endometriosis. It is not excluded that women with adenomyosis may experience other symptoms, such as chronic fatigue, pain during excretion, or nausea, but these manifestations are common consequences of endometriosis.
Diagnosis
Diagnosing adenomyosis is not straightforward, and due to insufficient diagnosis, we lack the necessary data on the condition and its prevalence. Currently, the most common methods used for adenomyosis are specialized ultrasound or magnetic resonance imaging, which can detect adenomyosis with the highest certainty. (2)
Can I have both adenomyosis and endometriosis?
Although endometriosis and adenomyosis are two different conditions, these conditions often occur simultaneously. For example, one 2017 study found that among 300 observed women diagnosed with adenomyosis, endometriosis was also discovered in up to 42.3 percent of cases. (3) However, the results vary widely, and we cannot say with certainty how many women experiencing one condition also have the other.
Are you experiencing any symptoms indicative of possible adenomyosis or endometriosis? Or do you have questions about your health? Ask our experts for free in the Femvie counseling center!
*The counseling center does not replace gynecological support and assistance. If you are experiencing any health problems, we recommend contacting your doctor as soon as possible.
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
- 📖 Guide: Anti-inflammatory diet for endometriosis — 6 + 1 ways to naturally reduce pain with nutrition
- 💊 Magnesium — supports muscle relaxation and cramp relief
- 🩹 Menstrual patches — natural relief from painful menstruation
- 🎯 Endometriosis support package — complete kit for daily support
Frequently Asked Questions
How do I know if I have endometriosis?
Endometriosis manifests as severe painful menstruation, pain during intercourse, fatigue, and digestive problems. The only way to definitively confirm it is through laparoscopy. If the symptoms interfere with 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 through an anti-inflammatory diet, dietary 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.