Hi!
You are correct that adenomyosis usually resolves itself after menopause. If you were my patient, I would definitely do an ultrasound guided endometrial biopsy to rule out cancer/polyps of the endometrium (uterine lining). I would also look carefully at the ovaries to be certain that there was no evidence of metastatic or other disease there.
But I would probably NOT do any major surgery unless one of these tests showed a problem.
I wonder, since you mention the breast cancer, if you are on Tamoxifen. If so, that is probably what is causing the spotting.
I would also be looking for other problems that might be causing the pain, because it seems quite unlikely that adenomyosis is the culprit.
Long answer above, short answer below:
Yes, its OK to watch and wait. In fact, that is probably the right thing to do!
Good luck!
Dr B
Thanks Dr. Brown, My Doctor tried to do an edometrial biopsy then a d&c, but because I have servere cervical stenosis, he was unable to get through my cervix. That is why I had the MRI, to see what it would tell. Ultrasounds have come up normal.
I'm not on tamoxifen, so I can't blame that on the spotting.
Thanks again for your response, I'm definitely not going to rush into anything until I have all my bases covered.
Carol~
I forgot to mention that I'm a breast cancer survivor