Do fibroids or adenomyosis often occur with endometriosis?

Yes—fibroids and adenomyosis can coexist with endometriosis, and the overlap is especially common in people dealing with heavy bleeding and significant period pain. Because these conditions can drive similar symptoms, identifying which ones are present is important for choosing the most effective treatment plan.

We typically start with pelvic ultrasound, which can often identify fibroids as more defined, discrete growths in or on the uterus. When adenomyosis is suspected, MRI can be particularly helpful because it can show diffuse or focal changes within the uterine muscle that may not look like a separate “mass.” Our team uses your symptoms, exam findings, and imaging together to clarify what’s contributing to your pain and bleeding and to map out the most appropriate next steps—whether that’s medical management, surgery, or both.