Gynecology \u00b7 Perimenopause
Adenomyosis in perimenopause: pain and heavy bleeding
Adenomyosis \u2014 endometrial tissue in the uterine wall \u2014 often worsens in perimenopause as estrogen fluctuates. Symptoms typically resolve after menopause but treatment often bridges the interim years.
Key points
- Mirena IUD first-line
- GnRH analogs for severe cases
- Hysterectomy for refractory
- Estrogen-only HRT post-hysterectomy
Frequently asked questions
Does adenomyosis go away at menopause?
Usually yes — symptoms improve as estrogen falls.
What treatments help before menopause?
Mirena IUD, GnRH agonists, hysterectomy in severe cases.
Can I use HRT after hysterectomy for adenomyosis?
Yes — estrogen-only is appropriate.
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Medically reviewed by Kindr Health Clinical Team · Last reviewed 2026-06-19. Compounded medications are prepared by FDA-registered 503A pharmacies and are not FDA-approved drug products.