What symptoms can appear in the early stages of adenomyosis of the uterus?

Patient's question:

What symptoms can be seen in the early stages of adenomyosis? Recently, I've noticed that I have menstrual cramps and a relatively large amount of menstrual flow. Is it adenomyosis?

Doctor's answer:

The initial symptoms of adenomyosis mainly include:
1. Abnormal menstruation. This primarily manifests as increased menstrual flow, prolonged menstrual periods, and light bleeding from the uterus. Abnormal menstruation may be related to factors such as ovulatory dysfunction in women, insufficient corpus luteum function, or the concurrent presence of adenomyosis.
2. Dysmenorrhea and lower abdominal pain. Dysmenorrhea is secondary, meaning the pain intensifies with each episode, often appearing at the onset of menstruation and persisting throughout the entire menstrual period. Lower abdominal pain is typically located deep in the lower abdomen and rectal region.
3. Sexual discomfort. The initial symptoms of adenomyosis may also manifest during sexual activity, causing deep intercourse pain. This pain often becomes more pronounced before menstruation.

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