Adenomyosis and fibroids can cause similar symptoms — heavy bleeding and pelvic pain — but they are different conditions, and telling them apart guides the right treatment.
The key difference
Fibroids are distinct, benign tumors of muscle tissue with defined borders. Adenomyosis is a diffuse condition where lining tissue infiltrates the muscle wall, with no clear edges.
How they feel
Fibroids often cause pressure and bulk symptoms, while adenomyosis classically causes intense, cramping pain along with heavy bleeding and a uniformly enlarged uterus.
They can occur together
Many women have both at the same time, which can make diagnosis tricky. MRI is particularly helpful for distinguishing them and for planning uterus-preserving treatment.
Considering non-surgical treatment?
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This article is for general information only and is not a substitute for professional medical advice. Suitability for any treatment is determined by individual assessment.