Adenomyosis may not always present with symptoms, affecting approximately one-third of individuals without noticeable signs. When symptoms do occur, they can include:
• Painful menstruation (dysmenorrhea)
• Heavy menstrual bleeding (menorrhagia)
• Irregular and abnormal menstruation
• Severe cramping or chronic pelvic pain
• Pain during sexual intercourse (dyspareunia)
• Infertility
• Enlarged uterus
• Abdominal bloating
• Frequent urination
• Constipation
• Weakness, palpitations, and fatigue due to anemia