
Causes of adenomyosis. When tissue from your uterine lining develops into your uterine wall, it’s called adenomyosis. Your uterus may double or triple in size as a result. Painful sex, cramps, and heavy periods are some of the symptoms. Usually, surgery or medication are used to treat it.
CAUSES OF ADENOMYOSIS
Adenomyosis, which is pronounced “add-en-o-my-OH-sis,” is the process by which tissue that resembles the endometrium, the lining of your uterus, begins to develop into the myometrium, the muscle wall of your uterus. perhaps it causes your uterus to grow and thicken, perhaps to the point where it doubles or triples in size. A disorder known as adenomyosis occurs when tissue that resembles the endometrium (uterine lining) develops into the myometrium, the uterine muscle wall. The uterus may thicken and swell as a result of this expansion, resulting in symptoms including pelvic pain and heavy, uncomfortable periods.
Symptoms

Dysmenorrhea, or painful menstrual cramps.
Menorrhagia, or heavy menstrual bleeding.
Painful menstrual cramps
either acute cramps or pelvic pain.
painful sexual activity (dyspareunia).
Infertility.
enlarged uterus.
belly bloating or fullness (adenomyosis belly).
Causes
What causes adenomyosis and why some people have it are unknown to researchers. Nonetheless, some studies indicate that adenomyosis may be influenced by hormones, genetics, inflammation, or trauma.
Diagnosis
Pelvic exam: Your healthcare professional may observe that your uterus has become softer, bigger, or uncomfortable to the touch during a pelvic exam.
Ultrasound: To create images of your pelvic organs, a transvaginal ultrasound uses sound waves. The thickening of your uterine wall may occasionally be seen in these pictures.
Imaging scans: Certain parts of your uterus may appear thicker and enlarged on magnetic resonance imaging (MRI) scans.
With a biopsy, your doctor may be able to rule out more serious problems. Your healthcare professional takes tissue samples during a biopsy and examines them for indications of more serious illnesses.
Treatment

The symptoms of adenomyosis usually disappear after menopause because the hormone estrogen encourages the formation of endometrial tissue. These therapies can help with severe bleeding, discomfort, and other symptoms in the interim:
Painkillers: Ibuprofen (Advil®, Motrin®) and naproxen (Aleve®) are examples of nonsteroidal anti-inflammatory medicines, or NSAIDs, which reduce cramping.
Hormonal drugs: Some hormonal drugs can help with irregular bleeding and menstruation. Birth control pills are an option.
Nonhormonal medicine: Tranexamic acid is one medication that helps lessen vaginal bleeding.
Adenomyomectomy: This procedure eliminates the uterine muscle’s adenomyosis. A myomectomy, which removes uterine fibroids, is comparable to this treatment.
Your uterus is removed during a hysterectomy. You won’t be able to conceive or have a menstrual cycle following a hysterectomy.
Summary
You could be unaware that you have adenomyosis. Symptoms of the disorder are not always present. Your life may be disrupted when symptoms like painful sex, cramps, or heavy periods appear. Discuss symptom relief strategies with your healthcare physician. Some drugs can be helpful. A hysterectomy, which involves removing your uterus, can treat the illness if you do not intend to have children. The symptoms usually disappear after menopause.