2025-03-24 06:37:33

Please review my uterine MRI results.

I was told by my doctor that I have adenomyosis.
However, the doctor’s explanation was confusing. They said it’s adenomyosis, but at the same time, they told me the results were “normal” and asked me if that’s what the MRI showed. Then they added that the diagnosis of adenomyosis is something they determine themselves — not solely based on MRI results.
So they said I do have adenomyosis, but also told me it’s nothing to worry about, which left me confused.

That’s why I’d like to ask for your help in understanding this.

On ultrasound, my uterus size appeared normal. A few days before the MRI, I received a hormone injection to induce menstruation. About 5–6 days after the MRI, my period started.
I was told that my uterus is enlarged — I’d like to know if that’s correct and, if so, how enlarged it is. I also want to know if I truly have adenomyosis based on these findings.

Here’s a brief medical history:

Around November, I experienced irregular bleeding for about two months. The doctor found thickened endometrium and recommended curettage and a biopsy.
I had the D&C (dilation and curettage) procedure on January 9th.
After that, I began having lower abdominal pain, pelvic pain, and lower back pain.
I visited several OB-GYN clinics; ultrasounds showed no abnormalities, and other doctors told me it wasn’t adenomyosis.
I didn’t have a period for two months, so I got a hormone shot on March 11th to induce menstruation.
The pain continued, so I had an MRI on March 14th.
My period started on March 20th, and the menstrual flow was very heavy for 3–4 days.
In the end, they told me the diagnosis was adenomyosis.

I would really appreciate it if you could help me understand the MRI results more clearly and explain whether adenomyosis is confirmed and how severe it might be.

Dr.s Diagnosis

It's understandable that you're confused about your adenomyosis diagnosis. It sounds like your doctor might have been trying to convey that adenomyosis can be a spectrum, and the severity impacts the approach to management. Adenomyosis Diagnosis and MRI: Adenomyosis is a condition where endometrial tissue (the lining of the uterus) grows into the muscular wall of the uterus (the myometrium). While an MRI can suggest adenomyosis, it's not always definitive. The diagnosis often combines imaging findings with clinical symptoms. Common MRI findings include: * Uterine Enlargement: The uterus may appear larger than normal. * Junctional Zone Thickening: The junctional zone (the area between the endometrium and myometrium) may be thicker than usual. * Myometrial Cysts: Small cysts may be seen within the myometrium. Interpreting Your MRI: It's difficult to provide a definitive assessment of your MRI without the radiologist's report. However, I can make some general observations: * Uterine Size: Compare to standard measurements. Normal uterine length is around 6-8 cm. * Junctional Zone: A thickened junctional zone is a key indicator. Typically, a thickness greater than 12mm is suggestive of adenomyosis. * Other Findings: The presence of cysts or other abnormalities in the myometrium can further support the diagnosis. Severity and Symptoms: The severity of adenomyosis is often related to the extent of endometrial tissue within the myometrium. Mild adenomyosis may cause few or no symptoms, while more severe cases can lead to: * Heavy and Prolonged Menstrual Bleeding: This is due to the increased surface area of endometrial tissue. * Pelvic Pain: The presence of endometrial tissue within the myometrium can cause inflammation and pain. * Enlarged Uterus: The presence of endometrial tissue can cause the uterus to enlarge. Recommendations: 1. Obtain the Radiologist's Report: This is the most important step. The radiologist's interpretation will provide a detailed assessment of the MRI findings. 2. Discuss the Report with Your Doctor: Go back to your doctor with the radiologist's report and ask for a clear explanation of the findings and how they relate to your symptoms. 3. Consider a Second Opinion: If you're still unsure about the diagnosis or treatment plan, consider seeking a second opinion from another gynecologist. Important Note: This information is for educational purposes only and should not be considered medical advice. It's essential to discuss your specific situation with a qualified healthcare professional.