In the past, adenomyosis was diagnosed only by a pathologist, often after a hysterectomy was performed for another uterine problem. Adenomyosis is often present in conjunction with other uterine conditions, such as fibroids. The diagnosis is difficult. Therefore, to diagnose this condition accurately, your doctor must play detective. It may be possible to detect adenomyosis with a magnetic resonance imaging (MRI) scan or a hysteroscopy (a telescope, similar to the laparoscope, placed through the cervix). However, an MRI is expensive, while a hysteroscope will at least rule out fibroids under the uterine lining.
Until recently, a hysterectomy was the suggested course of treatment for adenomyosis, but this is no longer an appropriate approach. Women have responded well to oral contraceptives or a progestin for this condition, too, which is preferable to danazol. Ablation may be an option as well.
