Adenomyosis vs Fibroids

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Adenomyosis vs Fibroids

Adenomyosis vs fibroids are two types of conditions that affect women’s reproductive health. They are both caused by different factors and can lead to similar yet distinct symptoms and treatments. In order to understand adenomyosis and fibroids, it is important to know their differences and similarities.

What are the differences between adenomyosis and uterine fibroids?

Adenomyosis is a condition that affects the uterus. It occurs when the endometrium tissue, which normally lines the uterus, begins to grow within the muscle wall of the uterus. As a result of this, an enlarged uterus can cause a painful and heavy menstrual cycle.

Fibroids, on the other hand, are benign tumours made up of smooth muscle cells and connective tissue. They are usually found around the outside of the uterus but can also grow within the uterine lining. While they are typically noncancerous, they can still cause problems such as heavy periods and pelvic pain.

Adenomyosis is often treated with:

  • Medications such as hormones or nonsteroidal anti-inflammatory drugs
  • In some cases, surgery may be necessary to remove the affected tissue

Conversely, fibroids can be treated with:

  • medications,
  • minimally invasive procedures
  • surgery.

The type of treatment chosen will depend on the size and location of the fibroids, as well as the severity of the symptoms.

Adenomyosis and fibroids are two very different conditions that affect women’s health.

Understanding their differences is important to seek proper treatment. With proper management and care, these conditions can be managed to improve quality of life.

Adenomyosis is a condition that is often misdiagnosed due to its similarity to other conditions, such as endometriosis and fibroids. It is important to seek medical advice in order to receive an accurate diagnosis and treatment plan.

Contact Lotus Medics, and we can assist you with your diagnosis and treatment.

fibroids and endometriosis - Lotus Medics
Adenomyosis is a condition that is often prone to be misdiagnosed due to its similarity to other women’s health conditions.

Five facts about fibroids

Fibroids are a common condition that can affect women of reproductive age. Here are five facts about fibroids that you should know:

  1. Fibroids are benign tumours made up of smooth muscle cells and connective tissue.
  2. Fibroids can grow inside or outside the uterus.
  3. Fibroids usually do not cause symptoms unless they are large or near a vital organ.
  4. Common symptoms of fibroids include heavy menstrual bleeding, pelvic pain, frequent urination, and pain during intercourse.
  5. Treatment for fibroids typically involves surgery or medication.

Fibroids can be diagnosed through a physical exam, ultrasound, or MRI. Depending on the size and location of the fibroids, a doctor may recommend a hysterectomy or other surgical procedure to remove them. In some cases, medication may be used to shrink the fibroids or reduce symptoms.

Five facts about adenomyosis

Adenomyosis is a condition that affects many women. However, there are still unknown facts about this condition. Here are 5 facts about adenomyosis that everyone should know.

  1. Adenomyosis is a condition in which endometrial tissue grows inside the uterine wall.
  2. It is most commonly found in women over 40 who have had children.
  3. Common symptoms of adenomyosis include heavy or prolonged periods, severe menstrual cramps, pelvic pain, and painful intercourse.
  4. Treatment for adenomyosis usually involves hormone therapy or surgery to remove the affected tissue.
  5. There are two types of adenomyosis, diffuse and focal adenomyosis. The primary difference between them is the growth pattern of the endometrial tissue into the muscular wall of the uterus.
endometriosis and fibroids - Lotus Medics
Women over 40 and that have had children should have an annual check-up with their women’s health doctor to ensure optimal health.

Exploring the Causes of Adenomyosis and Fibroids

The exact causes of adenomyosis and fibroids are not known. However, it is believed that certain hormonal changes and genetics may play a role in developing these conditions.

Additionally, lifestyle factors such as obesity, alcohol consumption, and smoking may increase the risk of developing adenomyosis and fibroids.

Other potential risk factors for adenomyosis and fibroids include a history of pelvic infections, early onset of menstruation, and a family history of the conditions.

Additionally, women who have never given birth may be at a higher risk of developing adenomyosis and fibroids. It is important to note that these conditions can occur in any woman, regardless of age or lifestyle.

Symptoms and Treatment of Adenomyosis vs Fibroids

Adenomyosis can cause a variety of symptoms, such as:

  • heavy or prolonged and painful periods,
  • severe menstrual cramps
  • enlarged and tender uterus
  • periods passing blood clots
  • prolonged menstrual bleeding
  • pelvic pain
  • painful intercourse
  • in some cases, it can also lead to infertility

Treatment for adenomyosis typically involves:

  • medication such as nonsteroidal anti-inflammatory drugs
  • hormone therapy
  • endometrial ablation
  • surgery to remove the affected tissue, such as a myomectomy
  • severe cases, a hysterectomy

Fibroids can cause a range of symptoms, such as:

  • Heavy and excessive bleeding
  • pelvic pain
  • frequent urination
  • pain during sexual intercourse

Treatment for fibroids typically involves:

  • medication such as nonsteroidal anti-inflammatory drugs
  • hormone therapy
  • Uterine fibroid embolization
  • surgery to remove the affected tissue, such as a myomectomy
  • severe cases, a hysterectomy
  • Lifestyle modification

More about pelvic pain

Pelvic pain is a common problem in women and can be caused by various conditions. These include endometriosis, ovarian cysts, infections, fibroids, interstitial cystitis, pelvic inflammatory disease, and other gynecological issues.

Treatment for pelvic pain depends on the underlying cause and may include medications, lifestyle changes, physical therapy, or sometimes surgery.

A woman must be evaluated by her healthcare provider to identify the cause of pelvic pain, as some of the above conditions can be serious if left untreated.

More about uterine fibroid embolization

Uterine fibroid embolization (UFE), also known as uterine artery embolization, is a minimally invasive procedure used to treat uterine fibroids. During the procedure, a catheter (a thin tube) is inserted through a small incision in the thigh or wrist and guided to the uterus.

Tiny particles are injected into the arteries that supply blood to the fibroids, causing them to shrink and eventually die. UFE is a safe and effective treatment option for women with symptomatic fibroids that may be causing heavy bleeding, pelvic pressure, and pain.

How to diagnose adenomyosis and fibroids

To diagnose adenomyosis, a doctor will usually perform a physical pelvic examination and imaging tests such as an ultrasound or MRI (uterus magnetic resonance imaging). A biopsy may also be done to confirm the diagnosis.

Fibroids are usually diagnosed through imaging tests such as an ultrasound, MRI, or CT scan. A physician may also do a biopsy to confirm the diagnosis.

diagnose adenomyosis and fibroids - Lotus Medics
Ultrasounds and MRI scans are some methods used for diagnosing adenomyosis and fibroids.

The impact of adenomyosis and fibroids on women’s health

Both adenomyosis and fibroids can have a major impact on women’s health. Both conditions can be difficult to manage and can have a major impact on quality of life.

In addition to the physical symptoms, adenomyosis and fibroids can also cause emotional distress.

Women may feel embarrassed or uncomfortable from their symptoms and may struggle to cope with the physical and emotional pain. It is important for women to seek medical advice and support to help manage their symptoms and improve their quality of life.

Managing adenomyosis and fibroids

Adenomyosis and fibroids can be managed with a variety of treatments. It is important to discuss all available treatment options with your doctor.

Depending on the severity of your condition, lifestyle changes such as diet and exercise may be recommended to help manage symptoms.

Additionally, alternative treatments such as acupuncture and herbal remedies may benefit some people. Ultimately, the best treatment plan for you will depend on your individual needs and preferences.

Lotus Medics can help you

If you struggling with adenomyosis or fibroid symptoms, please contact us at Lotus Medics for more information. If you would like to book an appointment at our Orange, Parkes or Bathurst practices, please contact us via telephone at 1300 3LOTUS (1300 356887) or email us at to set up your appointment.

To book an appointment online, please complete your contact details via our online form.

Frequently Asked Questions

If you require more information on adenomyosis vs fibroids, please read our most frequently asked questions.

Which is worse fibroids or adenomyosis?

It is impossible to say which is worse, as it depends on the individual and their unique situation. Some people may find fibroids to be more painful and disruptive, while others may find adenomyosis to be more severe.

How can you tell the difference between adenomyosis and fibroids?

The primary difference between adenomyosis and fibroids is their location. Fibroids are non-cancerous tumours that grow in the muscle wall of the uterus.

At the same time, adenomyosis is a condition in which the inner lining of the uterus (endometrium) breaks through the muscle wall of the uterus (myometrium). Fibroids are usually found on the outside of the uterus, while adenomyosis is usually found within the uterus.

Can adenomyosis be mistaken for fibroids?

Adenomyosis and fibroids can be mistaken for one another because they both can cause similar symptoms and can be found in the same area of the uterus. However, they are different conditions, and a doctor will be able to diagnose the condition correctly through imaging tests and a physical examination.

PLEASE NOTE: This information is not intended to be used for diagnosis or treatment. It is aimed at presenting a perspective only and is not a substitute for a prescription. Anyone experiencing a medical condition should consult their doctor.

Dr Sachin Kotasthane


Dr Sachin Kotasthane

Dr Sachin Kotasthane is an Obstetrician and Gynaecologist who has been part of the medical community in Orange since 2013. After training in the UK in a variety of specialised skills like Advanced laparoscopy, Urogynaecology, Pelvic ultrasound and Menopause management, and working as a Consultant Obstetrician and Gynaecologist in Glasgow, he emigrated to Orange with his young family to settle in the Australian countryside.



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