How is endometriosis and adenomyosis diagnosed and managed?

We correlate clinical symptom history with high-resolution pelvic and transvaginal ultrasonography to evaluate adenomyotic junctional zone changes and ovarian endometriomas. Management focuses on multi-modal pelvic pain relief, hormonal suppression therapies, and fertility preservation.

What is the difference between endometriosis and adenomyosis?

In endometriosis, tissue similar to the uterine lining grows outside the uterus (such as on ovaries, peritoneum, or fallopian tubes). In adenomyosis, the endometrial tissue grows directly into the muscular wall of the uterus itself, often causing a heavy, painful, and enlarged uterus.

Endometriosis & Adenomyosis Care

Clinical Service Guide • Lead by Dr. Mary Wanjiku

Endometriosis and adenomyosis are complex inflammatory conditions that cause chronic pelvic pain, debilitating period cramps, painful intercourse, and fertility obstacles. Dr. Mary Wanjiku provides compassionate, evidence-based management to restore your quality of life.

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African woman in empathetic gynaecological consultation for chronic pelvic pain

Pain & Pathology Relief

Compassionate evaluation and individualized therapeutic relief for endometriosis and adenomyosis.

What's included in this service

Detailed clinical history and pelvic pain mapping
High-resolution transvaginal sonography for adenomyosis and endometriomas
Tailored hormonal suppression therapies (progestins, combined contraceptives)
Multi-modal chronic pelvic pain and inflammation control
Fertility preservation planning and ovarian reserve assessment
Empathetic long-term support and symptom tracking

Who it's for

Designed specifically for:

Women suffering from chronic pelvic pain, severe dysmenorrhea (period cramps), pain during intercourse, or unexplained subfertility.

Need guidance deciding? Dr. Mary Wanjiku provides tailored triage consultations.

Diagnostic Pathway & Pathology Mapping

Precision diagnosis: How we investigate & map reproductive conditions

Conditions such as uterine fibroids, endometriosis, and adenomyosis require precise anatomical evaluation to guide the safest, most effective treatment. At Silver Cradle Clinic, we correlate clinical symptoms with high-resolution pelvic and transvaginal ultrasonography alongside comprehensive on-site laboratory diagnostics.

Diagnostic Modality • Pelvic UltrasoundHigh-Resolution Sonography

Clinical pelvic and transvaginal ultrasound imaging scan

Real-Time Sonographic Localization

Transvaginal and pelvic ultrasound provides immediate millimeter-level clarity of the uterine muscle wall, endometrial cavity, and ovarian architecture. It allows rapid classification of fibroids, adenomyotic changes, and endometriotic cysts.

Anatomical Correlation • ClassificationUterine Cross-Section

Medical illustration of uterine fibroids showing submucosal, intramural, and subserosal types

Pathology Classification & Impact

Fibroids are categorized by location: Submucosal (within uterine cavity, causing heavy bleeding), Intramural (within uterine muscle wall), and Subserosal (growing outward, causing pelvic pressure).

01. Symptoms