Can you have both endometriosis and adenomyosis?

Yes—many patients can have both endometriosis and adenomyosis at the same time. Because these conditions can overlap, symptoms may blend together and feel harder to “pinpoint,” and it’s not unusual for one to be suspected while the other is missed.

Coexistence can also affect treatment planning, since endometriosis involves disease outside the uterus while adenomyosis is within the uterine muscle. In our practice, we focus on a thorough history and targeted imaging review to clarify what’s most likely driving your pain and bleeding, then discuss options that match your goals—especially if you’re trying to preserve fertility or avoid unnecessary treatments. If you suspect both, reach out to schedule a consultation so our team can help you make sense of your symptoms and next steps.