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How Is the Diagnosis of Adenomyosis Made?

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How Is the Diagnosis of Adenomyosis Made?

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The diagnosis of adenomyosis is suspected if the uterus feels enlarged and tender to the touch during the pelvic examination. However, the diagnosis of adenomyosis based on these findings is often inaccurate, and other causes-fibroids, endometriosis, or polyps-are often found as the cause for the bleeding or discomfort. The diagnosis may be suggested by the appearance of the uterus on a sonogram, although it is often difficult to tell the difference between adenomyosis and fibroids using sonography. MRI is better at detecting adenomyosis, but the test is very expensive and rarely used for this purpose. Unfortunately, the only way to establish the diagnosis of adenomyosis with certainty is with surgery. Once removed, the tissue can be examined under the microscope, and the uterine lining cells can be seen within the muscle wall.

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