Can adenomyosis cause deep dyspareunia pain?
Yes, adenomyosis can cause deep dyspareunia pain due to thickening and inflammation of the uterine wall, leading to pelvic pressure and pain during penetration.
Detailed Medical Explanation
Adenomyosis is a condition where endometrial tissue grows into the muscle wall of the uterus, causing an enlarged, tender uterus. This can result in heavy periods, chronic pelvic pain, and pain during deep penetration. Diagnosis is usually by pelvic ultrasound or MRI. Treatments include hormonal therapy and sometimes surgery. NHS: Adenomyosis.
Clinical Context
Women with new or worsening deep pelvic pain during sex should be evaluated for adenomyosis and other pelvic pathologies.
Evidence-Based Approaches
NHS and NICE recommend multidisciplinary management for pelvic pain due to adenomyosis, including gynaecological assessment and imaging. NHS: Adenomyosis.