When endometrial glands are present in the wall of the uterus where they would not normally be present. These glands undergo growth along with the normal growth of the rest of the uterine materials during the menstrual cycle. However, when the uterus sheds its lining, the lining and blood get trapped in the uterine muscle by the extra endometrial glands which could be a reason for painful menstrual cramps. The trapped blood is slowly released causing extended spotting throughout the rest of the cycle. Perimenopausal women in their 40s are more likely to suffer from adenomyosis. 50% of adenomyosis is asymptomatic.
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Glossary
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Adenomyosis
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Premenopause
Refers to women from menarche until perimenopause. Before perimenopause was understood, this term described any menstruating woman.
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