Adenomyosis is a disease that can be difficult to diagnose. The only way for your gynecologist to definitively tell if you have adenomyosis is after you have a hysterectomy to treat your symptoms after which the tissue would be examined under a microscope. However, treatment based on ultrasound images or suspicion is usually recommended.
Adenomyosis refers to a condition that causes the endometrial tissue lining of your uterus to grow into the muscular walls of your uterus. Once the endometrial tissue is implanted in the muscle of the uterus, the tissue continues to act as it always does, growing, thickening, breaking up and bleeding out during your period. Adenomyosis can be very painful when it causes your uterus to become enlarged. It creates exceptionally heavy bleeding during your menstrual cycles.