Uterine adenomyosis: how to choose a natural treatment?

What to remember:

Adenomyosis is also called “internal endometriosis of the uterus.”

It is characterized by the infiltration of endometrial cells (uterine lining) into the myometrium (uterine muscle) due to an abnormality at their junction.

The exact causes of adenomyosis remain largely mysterious, but several theories have been put forward.

Various tests may be prescribed by healthcare professionals to confirm the diagnosis of adenomyosis (pelvic ultrasound, pelvic MRI, etc.).

Adenomyosis is commonly seen in women experiencing fertility problems.

Diet and stress management are two examples of interesting areas to work on to naturally relieve the symptoms associated with adenomyosis.

What is adenomyosis?

Adenomyosis, also called “ internal endometriosis of the uterus,” is characterized by the infiltration of endometrial cells (uterine lining) into the myometrium (uterine muscle) due to an abnormality at their junction. This leads to thickening of the uterine lining and is responsible for numerous hemorrhages. This gynecological disease is common and benign , meaning it is not life-threatening for the woman. However, some forms of adenomyosis are very painful and impact daily well-being.

The different forms of adenomyosis:

Diffuse adenomyosis: The different foci are disseminated throughout the myometrium.

Focal adenomyosis: The different foci are located in a more limited area of the uterine muscle.

External adenomyosis: This is when deep pelvic endometriosis infiltrates the myometrium.

Be aware that pelvic endometriosis and adenomyosis are frequently linked. However, there are exceptions: a woman can have adenomyosis without having endometriosis, and vice versa.

Adenomyosis is a gynecological disease that affects approximately 11 to 13% of women , a quarter of whom are between 36 and 40 years old . In addition, 6 to 20% of these women have both adenomyosis and endometriosis.

What causes adenomyosis?

The exact causes of adenomyosis remain largely mysterious, but several theories have been put forward. Among them, the retrograde infiltration theory suggests that fragments of the endometrium travel in reverse during menstruation. Hormonal fluctuations , chronic inflammation , and genetic factors may also play a role. It has been noted that adenomyosis is often found in women who have had multiple pregnancies or in those with endometrial hyperplasia, i.e., a highly developed uterine lining (endometrium). However, research is ongoing to unravel these complex mechanisms and better understand this gynecological disease.

What are the symptoms of adenomyosis?

Did you know that 2 out of 3 women with adenomyosis do not experience any symptoms? In fact, in most cases, this disease remains silent. However, in some women, it can also send clear signals through a series of symptoms. While these symptoms can vary from person to person, here are the common manifestations associated with adenomyosis:

Menorrhagia: This is heavy and prolonged bleeding, lasting more than 7 days. It is frequently accompanied by blood clots and can lead to anemia and/or chronic fatigue . This affects approximately 50% of women affected by adenomyosis.

Dysmenorrhea: These are painful periods, sometimes very intense, and can disrupt the daily lives of women with adenomyosis. Pelvic pain can persist throughout the month, not just during menstruation. Menstrual pain can be likened to very painful cramps. Dysmenorrhea is encountered in 30% of cases of adenomyosis.

Metrorrhagia: This is bleeding that occurs outside of menstrual periods. 20% of women with adenomyosis experience this symptom.

Dyspareunia: Adenomyosis can lead to pain during intercourse as it can increase the pressure on the affected area.

Bloating and abdominal discomfort: Some women experience abdominal swelling and general discomfort, similar to what you might feel during menstruation.
Fatigue and irritability: Excessive pain and bleeding can lead to fatigue and irritability, affecting mood and quality of life.

Fortunately, there are natural treatments that can relieve women of these symptoms and improve their daily lives.

How is adenomyosis detected?

In the case of suspected uterine endometriosis, various tests may be prescribed by the obstetrician-gynecologist to confirm the diagnosis. First, a pelvic ultrasound is performed to see if the uterus has increased in size, if it has lost its initial triangular shape, or if the uterine muscle is thickened and inflamed. In addition, as a second option, a pelvic MRI may also be considered when there is a suspicion of associated endometriosis. It allows visualizing the extent of adenomyosis inside the uterus, but also to identify other lesions associated with endometriosis. Imaging can be used to differentiate adenomyosis from uterine fibroids. Finally, in the case of an infertility assessment, the doctor may prescribe a hysteroscopy (visualization of the uterus from the inside using a camera) or a hysterosalpingography (x-ray examination).

What are the risks associated with adenomyosis?

Adenomyosis can lead to several risks and complications, although these effects can vary from person to person depending on the severity and extent of the disease. Some of the risks associated with adenomyosis include:

Chronic pain: Severe and persistent pelvic pain is one of the most common risks associated with adenomyosis. This pain can have a significant impact on the quality of life and emotional well-being of those affected.

Heavy bleeding and anemia: Adenomyosis can cause excessively heavy and prolonged menstrual periods, sometimes leading to anemia due to excessive blood loss. Anemia can cause fatigue , weakness, and other health problems.

Infertility and high-risk pregnancy: Although the precise mechanisms are not fully understood, adenomyosis may increase the risk of infertility in some women by affecting the uterine lining and disrupting embryo implantation. Slight risks of complications during pregnancy include miscarriage (risk doubled in these women), preeclampsia, or premature birth.

Hormonal Alterations: Adenomyosis can affect hormone levels in the body, which can lead to hormonal imbalances and symptoms such as irregular menstrual cycles.

Natural treatments to relieve adenomyosis

Adenomyosis, this complex and sometimes disconcerting gynecological condition, can bring its share of challenges to daily life. Faced with a growing search for natural and body-friendly solutions, many women are turning to natural alternatives to relieve their symptoms in a gentle and healthy way. Here are some possible natural treatments.

1 - Balanced diet: Nourish the body to soothe the mind

A balanced, nutrient-rich diet can play an important role in managing the symptoms of adenomyosis. Here are some of our recommendations to help relieve your adenomyosis:

Foods rich in omega-3: Found in oily fish (such as salmon and mackerel), walnuts and flax seeds, they have anti-inflammatory properties that may help alleviate symptoms.

Dietary fiber: Present in vegetables, fruits, oilseeds (almonds, walnuts, etc.) and legumes (lentils, peas, beans, etc.), they promote intestinal health and can help regulate hormones.

Iron-rich foods: To prevent anemia due to heavy menstrual bleeding, include sources of iron, such as dark leafy green vegetables, lentils, and lean meats, in your diet.

Foods rich in antioxidants: Antioxidants, found in colorful fruits and vegetables such as berries, citrus fruits, spinach, and carrots, can help reduce inflammation and support the immune system .

Anti-inflammatory foods: Certain anti-inflammatory foods are known for their ability to reduce inflammation in the body. These include leafy vegetables (broccoli, etc.), lentils, turmeric, and olive oil.

Hydration: Make sure you stay well hydrated by drinking enough water throughout the day, or 1.5 to 2 liters of water per day. To help you stay hydrated, consider taking your water bottle with you everywhere.

2 - Phytotherapy: The power of plants

Herbal medicine is a very interesting natural treatment for adenomyosis. Herbs and medicinal plants have been used for centuries to relieve various ailments, and adenomyosis is no exception. In fact, certain plants used in herbal medicine may offer relief from the symptoms of adenomyosis due to their anti-inflammatory, analgesic, and hormonal properties. Here is a non-exhaustive list of plants that may be beneficial to you:

Turmeric: It is well known for its anti-inflammatory properties thanks to its active component, curcumin. It may help reduce inflammation associated with adenomyosis, which could help alleviate pelvic pain.

Ginger: It has analgesic and anti-inflammatory properties that may help reduce pain and discomfort. It can also support blood circulation and promote better digestion .

Chamomile: It is known for its calming and relaxing properties. It can help alleviate stress and anxiety, which can worsen the symptoms of adenomyosis.

Licorice Root: It has anti-inflammatory properties and can support hormonal balance by helping regulate estrogen levels.

Raspberry Leaves: Raspberry leaves have traditionally been used to support uterine and hormonal health. They can help strengthen the uterus and promote healthy hormonal balance.

Agnus-castus (Chasteberry): This herb is known for its hormone-regulating properties. It may be helpful in balancing estrogen and progesterone levels, which could help alleviate the symptoms of adenomyosis.

Consider incorporating them into your diet or in the form of food supplements.

3 - Stress Management: Balancing Body and Mind

Stress can worsen the symptoms of adenomyosis by triggering inflammatory reactions. Regularly practicing relaxation techniques, such as meditation, yoga, and deep breathing, are examples of natural treatments to help reduce daily stress, improve sleep quality, and promote healthy hormonal balance .

4 - Physical activity: Taking care of your body through movement

Moderate exercise can help strengthen the body, improve circulation, and reduce pain. It's an effective natural treatment. Choose activities that suit you, such as walking, swimming, or Pilates, and be sure to listen to your body to avoid overdoing it.

While natural remedies can provide some additional relief, it's essential to maintain open communication with a healthcare professional. Adenomyosis is a complex condition, and referral from a specialist can help you make the best choices for your individual situation.