Understanding Adenomyosis

Wellness Team
Sep 8
3 min read

By Dr. Daniela Steyn, MD – Medical Doctor & Hormonal Health Expert

Adenomyosis is a condition where the inner lining of the uterus (the endometrium) grows into the muscle wall of the uterus (the myometrium). This can make the uterus larger, heavier, and more tender than normal. Many women with adenomyosis experience heavy menstrual bleeding, painful periods, pelvic pressure, or discomfort during intimacy. Some women, however, have no symptoms and only discover it during an ultrasound or MRI.

Why Does It Happen?

The exact cause is not fully understood. Research suggests that hormonal changes, inflammation, and uterine injury (such as after childbirth or surgery) may play a role. Adenomyosis is more common in women in their 30s and 40s, especially those who have had children.

Conventional Treatment Options

Treatment depends on your symptoms, age, and family planning goals:

Medications: Hormone therapies, such as oral contraceptives, progestins, or IUDs, can help control heavy bleeding and painful periods.
Pain relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can ease menstrual cramps.
Procedures: For severe cases, options like uterine artery embolization or surgery may be considered. Hysterectomy (removal of the uterus) is a definitive treatment, but only suitable for women who no longer wish to have children.

Integrative & Lifestyle Medicine Approaches

While medical treatments can be effective, many women find additional relief through lifestyle and natural approaches. These help reduce inflammation, balance hormones, and improve overall well-being.

1. Nutrition for Hormonal Balance

Focus on an anti-inflammatory diet: colorful vegetables, leafy greens, berries, fatty fish, nuts, and seeds.
Reduce intake of processed foods, sugar, and refined carbohydrates.
Support liver health with cruciferous vegetables (broccoli, cauliflower, kale), which help metabolize estrogen more effectively.

2. Stress Management & Mind-Body Medicine

Chronic stress can disrupt hormonal balance. Practices such as yoga, meditation, deep breathing, or journaling can reduce cortisol and improve menstrual health.

3. Regular Physical Activity

Gentle movement such as walking, Pilates, or swimming helps reduce inflammation, improve circulation, and support mood.

4. Supplements & Herbal Support

Evidence-based supplements with anti-inflammatory or hormone-balancing effects include:

Omega-3 fatty acids (fish or algae oil)
Magnesium
Vitamin D
Curcumin (turmeric)
Green tea extract (EGCG)
Ginger
Ashwagandha
Resveratrol

(Always use under medical guidance to ensure safety and avoid interactions. Book an appointment with one of our Nutritionist/ Holistic Pharmacist to get a personalized solution)

5. Acupuncture & Integrative Therapies

Some women experience pain relief and better cycle regulation with acupuncture, massage therapy, or other complementary practices.

What You Can Do Now

If you’ve been diagnosed with adenomyosis—or suspect you might have it—here are some practical first steps you can take right away:

Track your symptoms – Keep a journal of your cycle, bleeding patterns, and pain levels. This helps guide treatment decisions. Adopt an anti-inflammatory plate – Add one extra serving of leafy greens and brightly colored vegetables to your meals daily. You can book with one of our Hormonal Health expert Nutritionists. Support your body with movement – Start with gentle exercise, such as 20–30 minutes of walking most days. Reduce stress hormones – Try 5–10 minutes of daily meditation, breathwork, or stretching. Ask about key nutrients – Discuss magnesium, vitamin D, omega-3s, or herbal options with your Medical/ Naturopathic doctor. Seek professional support – If symptoms affect your quality of life, book an appointment with a physician experienced in hormonal and integrative women’s health. If you live in Ontario, book your appointment today: info@wellnessmdhealth.com