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  • Dr Peter Chew

What is adenomyosis / adenomyoma? Any difference from uterine fibroid?

Adenomyosis is a condition where the inner lining of the womb (endometrium) is abnormally embedded in the muscle layer of the womb ( myometrium).


During menstruation, this misplaced tissue also bleeds causing surrounding muscle layers to become reactive and thickened. As a result, the whole womb gets enlarged giving rise to symptoms of heavy and painful menses.


Adenomyoma is a localised form of adenomyosis where only some parts of the womb are swollen. This condition can mimic uterine fibroid on ultrasound examination which is just a simple growth in the myometrium.


The differentiation between adenomyosis and uterine fibroid is further complicated by the fact that both can coexist in the same patient .and present similar symptoms.