Correlation Between Adenomyosis and Chronic Pelvic Pain in Reproductive-Aged Women

Background: Adenomyosis is a common benign gynecological disorder characterized by the presence of endometrial tissue within the myometrium. Chronic pelvic pain (CPP) is one of its most debilitating symptoms, significantly affecting quality of life in reproductive-aged women. Objective: To evaluate the correlation between adenomyosis and chronic pelvic pain in reproductive-aged women and to assess associated clinical and imaging parameters. Methods: This observational analytical study included reproductive-aged women diagnosed with adenomyosis based on transvaginal ultrasonography and/or magnetic resonance imaging. The presence, severity, and characteristics of chronic pelvic pain were assessed using a visual analog scale (VAS). Statistical associations between adenomyosis features and pelvic pain were analyzed. Results: A significant positive correlation was observed between adenomyosis and chronic pelvic pain severity. Women with diffuse adenomyosis and increased junctional zone thickness reported higher pain scores. Conclusion: Adenomyosis is significantly associated with chronic pelvic pain in reproductive-aged women, with disease severity correlating with pain intensity. Early diagnosis and targeted management may improve patient outcomes.