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Understanding Adenomyosis and How We Diagnose It

This content has been designed to help you understand adenomyosis, how it affects your health, and how we diagnose it at Fusion Healthcare in Luton, UK. We aim to provide clear, reassuring information so you know what to expect during your assessment and the options available to support your wellbeing.

Living With Adenomyosis

Adenomyosis can vary from mild to more troublesome. For some women, symptoms remain stable, while for others they may gradually increase over time. An early and accurate diagnosis can make a significant difference in managing your symptoms and improving your quality of life.

If you have concerns about your periods, pelvic pain, or fertility, seeking medical advice is an important first step.

What is Adenomyosis?

Adenomyosis is a relatively common condition that affects the womb (uterus). It occurs when the inner lining of the womb, called the endometrium, grows into the muscular wall of the womb, known as the myometrium. As a result, the womb can become thicker, enlarged, and more sensitive. Not everyone with adenomyosis will have symptoms, but for those who do, the condition can cause:

  • Heavy or prolonged periods
  • Painful periods (dysmenorrhoea)
  • Pelvic discomfort, pressure, or cramping
  • Pain during intercourse
  • Occasionally, difficulty becoming pregnant

The symptoms of adenomyosis can be very similar to those of other gynaecological conditions, such as fibroids or endometriosis. For this reason, an accurate diagnosis is essential to ensure you receive the most appropriate care.

How We Diagnose Adenomyosis

Ultrasound plays a key role in diagnosing adenomyosis by identifying characteristic changes in the wall of the womb. These may include thickening of the uterine muscle, small cysts within the muscle (myometrial cysts), a bulky or irregularly shaped womb, and an uneven texture of the uterine muscle. These features help distinguish adenomyosis from other conditions, such as fibroids.

At Fusion Healthcare, we often use a private transvaginal ultrasound scan (TVS) to assess the womb and look for signs of adenomyosis. This type of scan provides detailed, high-quality images, helping clinicians identify changes associated with the condition

In most cases, ultrasound offers enough information for a confident diagnosis. Occasionally, if the ultrasound findings are unclear or if further detail is needed, your clinician may recommend an MRI scan.

What is a Transvaginal Ultrasound?

A private transvaginal ultrasound is a safe, quick, and minimally invasive, and standard procedure which is usually the first and most effective investigation for adenomyosis that uses sound waves to create images of the pelvic organs. Because the probe is placed inside the vagina, it produces very clear images of the womb, ovaries, and surrounding structures and provides immediate results, when performed by experienced clinicians, it is highly reliable and helps to guide appropriate treatment.

Preparation for private Transvaginal Scan
To make your scan as comfortable as possible:

  • Empty your bladder before the appointment, as this improves the clarity of the images.
  • Wear comfortable clothing which makes it easier to change if needed
  • You may bring a friend or family member for support

If you have any concerns or anxiety about the scan, please let the clinician know; your comfort is our priority.

During the scan:

  • You lie on your back with your knees bent.
  • A slim ultrasound probe, covered with a protective sheath and lubricating gel, will be gently inserted into the vagina.
  • The probe sends sound waves that create images of your womb and ovaries on a screen.

The scan usually takes 15–20 minutes. It may feel slightly uncomfortable, but it should not be painful, and you can ask to pause at any time.

What Happens After the Scan?

Once your scan is complete:

  • The images are reviewed by a specialist
  • The clinician will send the results with you in a clear, understandable way.
  • If adenomyosis is confirmed, you have an option to book private GP appointment with us or can take the reports to your GP to discuss about treatment options, which may include:

Pain relief or anti-inflammatory medications

o Hormonal treatments such as the contraceptive pill, hormonal coils, or injections

o Surgical options in rare cases

Many women find their symptoms can be successfully managed with medication or minimally invasive treatments.

Prices of Private Transvaginal scan : 150 GBP

Contact Us

Fusion Healthcare, Luton
For appointments or questions:

· Phone:
· Email:
· Website:

Frequently Asked Questions (FAQs)

1. What is a transvaginal scan?
It is an ultrasound performed through the vagina to see the womb, lining, and ovaries in detail.

2. How does the scan detect adenomyosis?
It can show thickened womb walls, small cysts in the muscle, uneven texture, and a larger or irregularly shaped womb.

3. Is the scan painful?
Most women feel only mild discomfort, like a routine vaginal exam.

4. Do I need to prepare?
Yes – empty your bladder, wear comfortable clothes, and you may bring someone for support.

5. Are there any risks?
Private Transvaginal scans are very safe. Complications are extremely rare, and there is no radiation exposure.

6. Can the scan always detect adenomyosis?
It is highly effective but may miss subtle cases. Occasionally, an MRI is recommended.

7. How long until I get results?
Results are usually discussed immediately, or reports will send within a few days.

8. Will the private transvaginal scan affect fertility or pregnancy?
No, this private transvaginal scan is safe and does not affect your ability to conceive.

9. What happens if adenomyosis is confirmed?
if you book private Gp appointment with us the doctor will explain treatment options based on your symptoms, including medication, hormonal therapy, or surgery if needed.

10. Can adenomyosis get worse over time?
Symptoms may progress slowly. Early diagnosis helps manage symptoms and improve quality of life.