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Can adenomyosis be missed on ultrasound or MRI?

Topic:Diagnosis
Affected areas:pelvicabdominalsystemic
An illustration of a female standing next to a female doctor with an ultrasound machine between them.

Yes—adenomyosis can be missed on imaging, especially when it’s mild, patchy, or early in its course. Ultrasound is also more operator-dependent, so subtle findings may be under-called or interpreted differently between readers.


A normal or “borderline” ultrasound or MRI doesn’t rule adenomyosis out if your symptoms and exam still fit. In our practice, we interpret imaging in the context of your full clinical picture and may recommend a repeat study or a different imaging approach when suspicion remains high, then review treatment options based on your goals and symptom severity.

Imaging May Miss Adenomyosis

If your symptoms suggest adenomyosis but imaging looks normal, don’t worry. Our specialists interpret results with your full story in mind and guide you toward the right tests and treatments.

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Dr. Steven Vasilev delivers best-in-class endometriosis guidance and a personalized treatment plan—built on evidence and your unique biology.


Led by Steven Vasilev, MD—an internationally recognized endometriosis specialist & MIGS surgeon—Lotus Endometriosis Institute is virtual-forward, with many patients traveling nationally for care. Clinical evaluation and surgical treatment are provided in California.

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8:00 am - 5:00 pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420