Which symptom is commonly associated with adenomyosis?

Adenomyosis is a condition where the inner lining of the uterus, known as the endometrium, grows into the muscular wall of the uterus (the myometrium). One of the hallmark symptoms of this condition is dysmenorrhea, which refers to painful menstrual periods. This occurs due to the abnormal positioning of the endometrial tissue, leading to increased uterine contractions and, consequently, heightened pain during menstruation.

In addition to dysmenorrhea, individuals with adenomyosis may also experience heavy menstrual bleeding, but the characteristic symptom that distinguishes it from other conditions is indeed the presence of significant pelvic pain associated with menstrual cycles. This pain can be severe and debilitating, serving as a key indicator for the diagnosis of adenomyosis.

Other symptoms listed, such as palpitations, hot flashes, and infertility, are either not associated or are less directly related to adenomyosis. While some menstrual disorders can affect fertility, dysmenorrhea remains the most prominent symptom typically seen with this condition. Understanding this connection helps clinicians recognize and manage adenomyosis more effectively.