Diagnosis
Can I get a virtual second opinion for adenomyosis?
The short answer
Yes, our team can offer a virtual, record-based second-opinion style consultation for suspected adenomyosis. Outside California, virtual communication is limited to education, records organization and preliminary review, not a formal diagnosis or treatment plan.
Yes, our team can offer a virtual, record-based, second-opinion-style consultation for suspected adenomyosis. These visits are designed to review your symptoms and the evidence you already have (especially ultrasound and/or MRI reports, and ideally the actual images), explain how confident we can be based on that information, and clarify which options make sense next, particularly when adenomyosis may overlap with endometriosis.
Telehealth works best for adenomyosis when we can evaluate the quality of prior imaging and the language used in the report, because imaging can miss adenomyosis depending on technique and experience. Before scheduling, we’ll ask for records (imaging reports/images, prior operative/pathology reports if any, and a brief treatment history) so we can confirm the visit will be meaningful and let you know what else we may need.
If you’re outside California, virtual communication is limited to education, records organization, and preliminary review. It doesn’t include a formal diagnosis, a treatment plan, prescriptions, or orders for new tests. When appropriate, we use the telehealth visit to determine whether an in-person evaluation and possible California-based surgical care would add value in your case. If you’d like to proceed, reach out to us to start records intake, and we’ll guide you through the next steps.
Where to go from here
Understand it, compare it with what you're feeling, then talk it through with us.
Step 1 · Understand
Understand the condition
Step 3 · Speak with Us
Get Your Virtual Second Opinion
Our specialists review your records and imaging to clarify your adenomyosis diagnosis. We'll guide you on next steps and overlapping treatments with endometriosis.
Questions people ask next
All diagnosis questionsHow is adenomyosis diagnosed—MRI, ultrasound, or surgery?
Adenomyosis is most often diagnosed using your symptoms, a pelvic exam, and imaging, usually an expert transvaginal ultrasound and sometimes an MRI. Most patients do not need surgery to confirm it; imaging and your clinical story typically provide enough clarity.
Can adenomyosis be missed on ultrasound or MRI?
Yes, adenomyosis can be missed on ultrasound or MRI, especially when it is mild, patchy, or early in its course. A normal or borderline scan does not rule it out if your symptoms and exam still fit, and subtle ultrasound findings may be interpreted differently.
How do I choose an adenomyosis specialist or surgeon?
Choose a specialist who matches treatment to your goals and explains how uncertainty in a diagnosis based on imaging and symptoms affects your options. If surgery is being considered, look for a surgeon who routinely performs complex minimally invasive pelvic surgery.
Can you have both endometriosis and adenomyosis?
Yes, many patients can have both endometriosis and adenomyosis at the same time. Their symptoms may blend together, and having both can affect treatment planning because endometriosis is outside the uterus while adenomyosis is within the uterine muscle.
Further reading
Diffuse Adenomyosis: Diagnosis and Treatment You Can Act On
A clear guide to diffuse adenomyosis: what it means, how TVUS and MRI diagnose it, and practical treatments, from hormonal IUDs to uterus-sparing options.
Focal Adenomyosis: What Your Diagnosis Means and Next Steps
Learn what a focal adenomyosis diagnosis means, how TVUS and MRI confirm it, and your options—from medical therapy to uterus‑sparing procedures and hysterectomy.
Adenomyosis vs. Endometriosis: Are They Different or Related?
Explore the key differences between adenomyosis and endometriosis, their symptoms, overlap, and treatment options for better fertility outcomes.
