While adenomyosis can be asymptomatic in approximately one-third of individuals, symptomatic cases often present with a range of signs and symptoms. These may include:
* Painful menstruation (dysmenorrhea)
* Heavy menstrual bleeding (menorrhagia)
* Irregular and abnormal menstrual periods
* Severe cramping or chronic pelvic pain
* Pain during sexual intercourse (dyspareunia)
* Infertility
* An enlarged uterus
* Abdominal bloating
* Frequent urination
* Constipation
* Weakness, palpitations, and fatigue, often resulting from anemia due to significant blood loss.