A 45-year-old woman presented to the office due to excessive menstrual bleeding for the past 5 months. The patient has 6 days of heavy bleeding soaking the sanitary pads, which is associated with pain. The menstrual cycle length is around 30-32 days. The patient has no significant past medical or surgical history. The patient was referred for hysterectomy, gross examination of the uterus is shown below.
Which of the following is the most likely diagnosis?

Question

A 45-year-old woman presented to the office due to excessive menstrual bleeding for the past 5 months. The patient has 6 days of heavy bleeding soaking the sanitary pads, which is associated with pain. The menstrual cycle length is around 30-32 days. The patient has no significant past medical or surgical history. The patient was referred for hysterectomy, gross examination of the uterus is shown below. 
Which of the following is the most likely diagnosis?

Quizplus · Accepted Answer

Eductional Objective: Adenomyosis is defined as the invasion of uterine endometrial tissue in the uterine myometrium. Adenomyosis patients present with uniformly enlarged globular uterus.

A 45-Year-Old Woman Presented to the Office Due to Excessive