Adenomyosis vs endometriosis: what symptoms suggest adenomyosis?

Heavy or prolonged menstrual bleeding (often with clots), intense cramping, and a uterus that feels enlarged or tender are symptoms that more strongly suggest adenomyosis. Many patients also describe a deep, pressure-like pelvic ache that can be worst during their period.

Endometriosis more often shows up as pelvic pain that isn’t limited to bleeding days, including pain with sex or pain related to bowel or bladder function, although there can be significant overlap and many people have both. Because symptoms alone can’t reliably separate the two, our team typically uses a detailed history plus targeted imaging—most often ultrasound and/or MRI—to look for adenomyosis features and to assess for coexisting endometriosis; if your symptoms fit this pattern, you can reach out to schedule a consultation.