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. Although you might not know if your uterus is bigger, you may notice tenderness or pressure in your lower abdomen.
sometimes  adenomyosis causes signs symptoms only mild discomfort  however  adenomyosis can cause:  heavy prolonged menstrual bleeding severe cramping sharp  knifelike pelvic pain menstruation (dysmenorrhea) chronic pelvic pain painful intercourse (dyspareunia)  uterus bigger  know uterus bigger  may notice tenderness pressure lower abdomen
adenomyosis