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Despite increasing public awareness of endometriosis, with celebrity figureheads including Lena Dunham and Molly Mae, the condition’s ‘evil twin sister’, adenomyosis, remains neglected. While the NHS has an entire webpage which explains what endometriosis is, there is currently no equivalent for its sister condition. Read on for five things you should know. It’s not the same as endometriosis Both endometriosis and adenomyosis occur when the lining of the uterus (known as the endometrium) grows out of place, but there are major differences between the two. In endometriosis, the rogue tissue invades areas outside of the uterus. While the extent of the growth varies from patient to patient, it can affect areas such as the bladder, bowel, ovaries, and even the lungs. Adenomyosis, on the other hand, causes the rogue tissue to bury inside the muscular wall of the uterus. It’s possible to suffer from both conditions at the same time. Symptoms include bloating, heavy periods, and pelvic pain Thanks to the invasive endometrial growth, adenomyosis is characterised by an enlarged uterus. During menstruation, the embedded tissue swells and bleeds, typically causing a variety of symptoms (although some women are asymptomatic). According to a patient leaflet published by University College Hospital, sufferers commonly have painful and irregular periods, with more than half experiencing heavy bleeding. Chronic pre-menstrual pain, and feelings of heaviness and discomfort in the pelvis are among other possible symptoms. Less frequently, adenomyosis can cause bloating, pain during intercourse, and pain related to bowel movements. All symptoms should stop after the menopause. It affects 1 in 10 women The condition is believed to affect 10 per cent of women in the UK. That makes it just as prevalent as endometriosis, although it’s more common in women between the ages of 40-50, and those who have been pregnant before. While the cause of the condition is not known, UCH says that “genetics and some hormones may play a role”. In terms of long-term effects, the North Bristol NHS trust says that adenomyosis does not appear to decrease the chance of pregnancy, however it has been linked to an increased risk of miscarriage and premature birth. Treatment options are limited For women with mild symptoms, trying to get pregnant, or nearing menopause, the North Bristol trust says that treatment may not be necessary, but for those seeking relief from symptoms, it recommends medication to reduce pain and bleeding, and hormonal interventions such as the contraceptive pill. The only “cure” is a surgical procedure involving the removal of the womb (hysterectomy), although this is a last resort intervention. The Bristol-based trust also offers an alternative surgery which involves blocking the blood supply to the endometrial growth, forcing it to shrink, but neither procedure is advisable for women who want to get pregnant in the future. It can take years to diagnose The condition is typically diagnosed using MRI and ultrasound scans, but the NHS says that adenomyosis can take “a long time, even years, to diagnose” because “symptoms and severity can vary between women”. The frequent dismissal of women’s gynaecological symptoms means that signs of adenomyosis may be conflated with ‘normal’ menstruation, or even other conditions such as endometriosis. Anecdotal reports of sufferers suggest that misdiagnosis is common. Gabrielle Union, one of the only celebrities to have publicly identified as having the condition, suspects her condition went undiagnosed for years. Speaking at a conference in 2019, Union explained: “The gag is I had [adenomyosis] in my early twenties, and instead of someone diagnosing me they were like ‘Oh you have periods that last nine or 10 days and you’re bleeding through overnight pads? Not a mere inconvenience... perhaps there’s something more there.’” Earlier this year, the charity Tommy’s reported that the condition might be “underdiagnosed” after a review of existing studies found that “mild” cases could be missed by clinicians using current diagnostic methods. “There should be training for clinicians and sonographers to diagnose adenomyosis using a standardised criteria,” said Dr Ishita Mishra, leader of the review. “Being able to identify this condition using a uniform set of criteria would then help give us a true picture of the numbers affected, and better understanding of the impact of this condition,” Mishra explained. If you have any health concerns, you should always contact your GP in the first instance. There is also information available via NHS Scotland or Endometriosis UK. Read More Lena Dunham marks five years of sobriety: ‘Happiest of my time on earth’ ‘Some days things just do not work’: What happens when your smear test doesn’t go smoothly? Woman’s warning after terminal cancer mistaken for heavy periods 5 things you need to know about adenomyosis, the ‘evil twin sister’ of endometriosis Woman’s warning after lip filler left her unable to close mouth ‘Suddenly, I saw Dad again’: The radical tech helping those living with dementia

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Ashlyn Harris has addressed rumours she cheated on ex-wife Ali Krieger amid her new rumoured romance with Sophia Bush. The former US National Women’s Soccer Team player took to her Instagram on 18 November to share a lengthy statement following her divorce from Krieger. In her post, Harris denied cheating rumours and revealed how the subsequent “online hate” has negatively impacted her mental health. “Several weeks ago, a process that had been ongoing privately for some time became public,” Harris began. “Ending a relationship after almost 13 years of friendship, teammate-ship, marriage and co-parenting (many of them good years) is a decision that was not made lightly.” “We agreed to centre our children, continue therapy, separate, and to move forward with our lives. Two happy families are always better than one unhappy one. This process is never easy, but we were making our way through,” she continued. Harris explained that the former couple were advised by their agents and representation to keep news of their split private until after Krieger finished her NWSL season earlier this month. However, the 38-year-old athlete revealed that “a leak (a betrayal of our deepest confidence) made that impossible”. “The online hate that has happened since has been one of the most personally devastating experiences of my life,” Harris said. While she noted that she was encouraged “not to feed the beast” of negative online comments, Harris maintained that the past few weeks have “devastated my mental health”. She added: “This has been brutal.” Harris claimed that she has received online death threats since her divorce, as well as comments from trolls criticising her two children - daughter Sloane, two, and one-year-old son Ocean - who she shares with Krieger. “Words matter. The cheering on abuse, the people clamoring to encourage me to commit suicide, and the cruel words spoken about my children and who I am as a mother? Those words matter,” she said. “Someday my kids are going to be able to read the hate that strangers on the internet wrote, all because those strangers had an unsolicited opinion on my health and happiness? What are we doing here?” Harris then addressed why she and Krieger split after four years of marriage, writing: “People have run with a narrative that’s unbearably painful. Not all marriages last forever. Ours did not. For many reasons.” The former soccer pro admitted that the “false narratives” surrounding her marriage may be “juicier or make a better headline”, but the rumours that she cheated on Krieger were “simply not true”. “Let me be clear: I did not step out on my marriage. I was always faithful in my marriage, if not always totally happy. Like in many partnerships, there was work and therapy and processing done. None of this happened on a whim,” Harris said. “We spent the entire summer working to tackle the separation and divorce steps outlined for us by our therapists, lawyers, and our shared agency.” The former USWNT star explained how by “finally choosing my own health and happiness”, she has also “chosen a better future for my kids”. However, Harris claimed that she’s had “an entire community turn on me” in the wake of her divorce. “I’ve spent my whole career trying to build an inclusive space where people can show up as themselves and where they know they will be safe,” she continued. “Right now, it feels like the entire community has poured gasoline on me and lit the matches. So many of you, including people who stand publicly as anti-bullying advocates, have cheered this on like bloodsport. As though a family in transition is on opposing teams. Like a divorce is a battle, one person stands to win.” Harris wrote that her number one priority is her children, and being a “good co-parent” with Krieger. “Despite this current darkness, there have been years of love between us. And our kids are the best part of it all,” she said. “They deserve two healthy and happy parents, and that’s what matters most. We are all in pain.” The retired soccer pro concluded her statement by reminding people that “bullying anyone about a personal decision, especially when that bullying is rooted in lies, really hurts”. “I’m hoping that instead of continuing this cruelty you can remember the simple truth that I’m a human being, a mom, and a good person just trying my best. I’d appreciate if you could take a breath and treat me and my family with some humanity,” she finished her statement. It was reported in October that Harris had filed for divorce from Krieger after nearly four years of marriage. The ex-goalkeeper filed the court documents in Florida’s Seminole County on 19 September. According to ESPN, the co-parents are required to decide on a parenting plan for their two adopted children. The soccer duo first met in 2010 while playing for the USWNT. Harris and Krieger were engaged in 2019 and tied the knot in Miami on 28 December that same year. Now, Harris is reportedly datingOne Tree Hill alum Sophia Bush, who also filed for divorce from husband Grant Hughes after just 13 months of marriage. “After being friends for years, and running in the same social circles, Sophia and Ashlyn went out on their first dinner date a couple of weeks ago,” a source told People last month. “This is so recent, and they are both beginning new chapters.” Meanwhile, a representative for Hughes told Page Six that he is happy for the new couple following his divorce from Bush. “Grant will always want the best for Sophia, and is supportive of all that makes her happy and fulfilled,” they told the outlet. Bush was previously married to her One Tree Hill co-star Chad Michael Murray from 2005 to 2006. Read More I present my children on Instagram like a fairytale – I’m now rethinking Will an adaptogen a day keep the doctor away this winter? Naomi Watts admits mid-thirties menopause felt like ‘the end of my worth’ I present my children on Instagram like a fairytale – I’m now rethinking Will an adaptogen a day keep the doctor away this winter? Naomi Watts admits mid-thirties menopause felt like ‘the end of my worth’

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This week’s new entertainment releases include albums from Drake and Doja Cat, a reboot of Robert Rodriguez’s “Spy Kids” franchise with a film starring Gina Rodriguez and Zachary Levi and the critically-acclaimed “Sex Education,” one of Netflix’s most popular shows, returns for its fourth and final season