What are the symptoms of adenomyosis? Some women may have no symptoms of adenomyosis, while others have some pretty distinct ones, including: Painful periods Heavy cycles Bad cramps Drawn-out periods But adenomyosis is often hard to diagnose, which is why there's so little research on it. For the most part, a diagnosis of adenomyosis is a diagnosis through exclusion—when a doctor makes a diagnosis by ruling out other diseases. The only way to actually confirm that diagnosis, is through surgery to remove the tissue of the uterus and examine it. Can adenomyosis mess with fertility? There is a link between adenomyosis and infertility, but it’s not completely conclusive. Some experts say that the condition may impair fertility by affecting the transport of the fertilized egg from the fallopian tubes to the uterus, or by changing how the endometrium (the mucus membrane that lines the uterus) functions, she says. Others suggest the fertility issues experienced by people with adenomyosis may be due to an undiagnosed endometriosis, which is known to cause fertility issues. What's the treatment for adenomyosis? Treatment for adenomyosis in particular is trcky. While pain medication might help with the discomfort—which is honestly putting it lightly—birth control methods that contain progesterone are often prescribed to help decrease bleeding. In severe cases, doctors may even recommend a hysterectomy (a surgery where all or part of a woman's uterus is removed), or an adenomyectomy (which removes the abnormal tissue but preserves the uterus). Without surgery, however, symptoms often go away with menopause. Though treatment for adenomyosis—and adenomyosis itself—can impact a woman's fertility, an adenomyectomy may preserve the uterus enough for a woman to conceive, Obstetrical and Gynecological Survey. However, more research is needed on the subject. If you have adenomyosis and you want to conceive, talk to your doctor about your options. They’ll likely want to see if you have any endometriosis that could impair your fertility and go from there.Best Fertility Care Center, Advanced Fertility Care Center , Ashwini Hospital Moondrumavadi Madurai-07. Mother and child health care.