Association of Ultrasound Features of the Myometrium Suggestive of Adenomyosis and Clinical Symptoms

This observational study is examining the relationship between ultrasound findings of the uterus and symptoms in women being evaluated for adenomyosis — a condition where the tissue lining the uterus grows into the uterine muscle, causing pain and heavy bleeding. Researchers want to understand how well ultrasound findings match up with real-world symptoms. **You may be eligible if...** - You are a woman of pre- or perimenopausal age (before or around menopause) - You are attending a routine gynecological ultrasound appointment - You are willing to provide written consent - Both women with and without symptoms are welcome - Women using hormonal contraception or hormone replacement therapy may participate **You may NOT be eligible if...** - You decline to provide written consent - You have a serious underlying illness that would complicate participation - You are postmenopausal without hormonal therapy Talk to your doctor to see if this trial is right for you.