Deep Disease
Can you have both endometriosis and adenomyosis?
The short answer
Yes, many patients can have both endometriosis and adenomyosis at the same time. Their symptoms may blend together, and having both can affect treatment planning because endometriosis is outside the uterus while adenomyosis is within the uterine muscle.
Medically reviewed by Dr. Steven Vasilev, MD
Quadruple board-certified in surgical and integrative therapies, Minimally-Invasive Robotic Endometriosis-Excision Surgeon, Director of Lotus Endometriosis Institute · Updated Oct 2026
Yes, many patients can have both endometriosis and adenomyosis at the same time. Because these conditions can overlap, symptoms may blend together and feel harder to “pinpoint,” and it’s not unusual for one to be suspected while the other is missed.
Coexistence can also affect treatment planning, since endometriosis involves disease outside the uterus while adenomyosis is within the uterine muscle. In our practice, we focus on a thorough history and targeted imaging review to clarify what’s most likely driving your pain and bleeding, then discuss options that match your goals, especially if you’re trying to preserve fertility or avoid unnecessary treatments. If you suspect both, reach out to schedule a consultation so our team can help you make sense of your symptoms and next steps.
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Struggling with Mixed Symptoms?
Many patients face both endometriosis and adenomyosis together, making diagnosis tricky. Our specialists carefully evaluate your condition to tailor the right treatment plan for you.
Questions people ask next
All deep disease questionsHow is endometriosis different from adenomyosis?
Endometriosis involves tissue similar to the uterine lining growing outside the uterus; adenomyosis involves that tissue growing into the uterus's muscle wall. They can occur together, and when they do, symptoms may feel more severe and fertility can be affected.
Do fibroids or adenomyosis often occur with endometriosis?
Yes, fibroids and adenomyosis can coexist with endometriosis, and the overlap is especially common in people with heavy bleeding and significant period pain. Identifying which conditions are present is important for choosing the most effective treatment plan.
When is adenomyosis more likely than endometriosis?
Adenomyosis often rises to the top of the list when periods are heavy and painful, with deep, crampy uterine pain that can linger between cycles. An enlarged, tender uterus or certain ultrasound or MRI findings may support it, but endometriosis can also be present.
Further reading
Adenomyosis vs. Endometriosis: Are They Different or Related?
Explore the key differences between adenomyosis and endometriosis, their symptoms, overlap, and treatment options for better fertility outcomes.
Endometriosis and Adenomyosis: How They Drive Pelvic Pain
Compare endometriosis and adenomyosis: similarities, differences in location and prevalence, diagnosis methods, and treatment options for pelvic pain.
Do My Symptoms Mean Adenomyosis or Endometriosis?
Discover the truth about endometriosis and adenomyosis symptoms. Understand how common they really are, and gain insights for effective advocacy.
