In adenomyosis, the tissue that lines the endometrium invades the uterine wall. The incidence is highest in women ages 40 to 50 symptoms include hypermenorrhea (excessive and prolonged bleeding), acquired dysmenorrhea, polymenorrhea (abnormally fre-quent bleeding), and premenstrual staining. Physical examination findings on palpation include an enlarged, firm, and tender uterus. Treatment depends on the severity of bleeding and pain. Hysterec-tomy may offer greater relief than more conservative therapies.
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