Confirm or rule out adenomyosis
Ultrasound features – such as myometrial cysts, echogenic islands, and irregular junctional zone – provide a reliable diagnosis of adenomyosis, even in the absence of symptoms.
Adenomyosis is a condition in which endometrial tissue – the lining that normally grows inside the uterus – grows into the muscular wall of the uterus (myometrium). This causes the uterine wall to thicken and can lead to painful, heavy periods, chronic pelvic pain, and infertility. It affects up to 20‑30% of women, but is often underdiagnosed.
Adenomyosis evaluation is a specialised transvaginal ultrasound that looks for characteristic features: diffuse or focal thickening of the myometrium, tiny cystic spaces (myometrial cysts), echogenic islands, and abnormal vascularity. It helps differentiate adenomyosis from fibroids and guides treatment decisions – from medical management (hormonal therapy, pain relief) to surgical options (endometrial ablation, hysterectomy).
At Amytri, our adenomyosis evaluations are performed by experienced consultant radiologists using state‑of‑the‑art transvaginal ultrasound, often with Doppler assessment. We provide a detailed report that documents the extent and pattern of involvement, helping your gynaecologist tailor your management plan.
Adenomyosis is treatable – but it is often overlooked. Ultrasound provides the definitive evidence needed to confirm the diagnosis and guide appropriate therapy.
Ultrasound features – such as myometrial cysts, echogenic islands, and irregular junctional zone – provide a reliable diagnosis of adenomyosis, even in the absence of symptoms.
Adenomyosis and fibroids can coexist and share symptoms, but they are treated differently. Ultrasound evaluation helps distinguish between them, avoiding unnecessary procedures.
Medical therapy (hormonal contraceptives, GnRH agonists, progestins) is often effective, but severe cases may require surgery – mapping helps determine the extent of disease and the best approach.
We use high‑resolution transvaginal ultrasound with Doppler to detect both diffuse and focal adenomyosis.
We assess for diffuse or asymmetrical uterine enlargement – a key indicator of adenomyosis. The uterus may appear globular or bulkier on one side.
We measure the myometrial thickness, looking for asymmetric thickening (anterior > posterior or vice versa) or diffuse thickening (>40 mm in a nulliparous uterus).
We detect tiny cystic spaces (1‑5 mm) scattered throughout the myometrium – a classic sign of adenomyosis. These represent islands of endometrial tissue within the muscle.
We look for hyperechoic spots or linear striations within the myometrium – these represent ectopic endometrial tissue and are a hallmark of adenomyosis.
We evaluate the junctional zone – the area between the endometrium and myometrium. A thickened (>12 mm) or poorly defined junctional zone with irregularity is strongly suggestive of adenomyosis.
We use colour and spectral Doppler to assess vascularity – adenomyosis often shows increased flow within the myometrium, which can help differentiate it from fibroids (which typically have peripheral vascularity).
Your gynaecologist refers you for an adenomyosis evaluation – often because of pelvic pain, heavy bleeding, or an inconclusive previous scan.
We perform a transvaginal ultrasound (with transabdominal complement if needed) to evaluate uterine size, myometrial thickness, and characteristic features of adenomyosis – including cysts, echogenic islands, and junctional zone appearance.
We document the features and severity of adenomyosis – diffuse vs focal, degree of thickening, and presence of associated pathology (e.g., endometriosis, fibroids). We provide a clear, actionable report.
We discuss the findings with you and your gynaecologist. Treatment options may include hormonal therapy, pain management, or surgical interventions – depending on the severity and your fertility wishes.
Many women with adenomyosis are misdiagnosed – if you have these symptoms, a targeted evaluation can provide answers.
Intense, cramping pelvic pain that starts before or during menstruation is the hallmark symptom of adenomyosis.
Adenomyosis is a common cause of heavy, prolonged periods that interfere with daily life.
Constant or intermittent pelvic pain not associated with menstruation can also indicate adenomyosis.
Adenomyosis can affect uterine receptivity and implantation – evaluation is often part of the fertility work‑up.
If you have been treated for fibroids but symptoms continue, adenomyosis may be the underlying cause.
If a routine scan shows features suggestive of adenomyosis, a dedicated evaluation provides a definitive assessment.
Dr. Abhishek has extensive experience in gynaecological ultrasound, with a special focus on uterine pathology including adenomyosis. He is skilled in transvaginal imaging and Doppler assessment, providing the detailed characterisation needed to guide treatment decisions.
Adenomyosis evaluation is often part of a journey to find answers for chronic pain or fertility issues – having your partner with you provides support and shared understanding.
We welcome partners to attend the ultrasound. We explain the findings, show you the affected areas on screen, and discuss the implications for treatment – helping both of you understand the path ahead.
Adenomyosis is a condition where endometrial tissue grows into the muscular wall of the uterus (myometrium). It causes thickening of the uterine wall and can lead to painful, heavy periods, pelvic pain, and infertility.
Transvaginal ultrasound can detect characteristic features of adenomyosis – including myometrial cysts, echogenic islands, diffuse or focal thickening, and an irregular junctional zone. Doppler can help differentiate it from fibroids.
Endometriosis is endometrial tissue growing outside the uterus (e.g., on ovaries, pelvic peritoneum). Adenomyosis is endometrial tissue growing within the uterine muscle itself. They can occur together.
The ideal timing is days 5‑12 of the menstrual cycle, when the endometrium is thin and the myometrium is most clearly visualised. However, it can be performed at any time if symptoms are present.
Yes, a referral from your gynaecologist is recommended. They will use the results to guide your treatment plan – whether medical management, surgical intervention, or fertility treatment.
Treatment depends on the severity and your fertility wishes. Options include hormonal therapy (contraceptives, progestins, GnRH agonists), pain management, endometrial ablation, and in severe cases, hysterectomy. Your gynaecologist will discuss the best approach for you.
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