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The causes and factors of changes in the structure of the uterine cavity The middle layer of the uterus is heterogeneous – it is not a disease but rather a pathologic process of changing the homogeneity of the structure of the uterus in a number of different diseases, such as endometriosis (benign tumor growth) Adenomyosis is the presence of functional endometrial tissue within the myometrium of the uterus This benign invasion of the middle layer of the uterine wall has been described as a variant of endometriosis – and although the conditions can occur together, they are distinct diagnoses The main symptoms of adenomyosis are menorrhagia and Sometimes, adenomyosis causes no signs or symptoms or only mild discomfort However, adenomyosis can cause Heavy or prolonged menstrual bleeding Severe cramping or sharp, knifelike pelvic pain during menstruation (dysmenorrhea) Chronic pelvic pain Painful intercourse (dyspareunia) Your uterus might get bigger Pelvic Pain Overlooked And Underdiagno