How is adenomyosis diagnosed?

Most commonly adenomyosis is discovered incidentally when the uterus is surgically removed for other reasons. While it can be diagnosed during hysterosalpingography (HSG) where contrast dye is injected in to the uterine cavity or with pelvic ultrasound (US), magnetic resonance imaging (MRI) is the best imaging study to detect adenomyosis. In fact, US commonly mistakens adenomyosis for uterine fibroids (due to similar clinical findings, see question on signs/symptoms of adenomyosis) only to be correctly diagnosed with MRI.
A doctor may consider a diagnosis of adenomyosis based on signs and symptoms. An ultrasound and even magnetic resonance imaging (MRI) can be used to visualize the uterus. The most definitive diagnosis, however, is accomplished by looking at the cells under a microscope after complete removal of the uterus has been done.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.