fibroid/adenomyosis

Hi there. First, it is best to verify the diagnosis, whether it is a fibroid tumor (leiomyomas) or that of adenomyosis. These are two very distinct clinical entities. Leiomyomas are tumors of the smooth muscle of the uterus and is quite common among women in your age group. This is a benign tumor, and is usually diagnosed through the appearance on imaging studies as smooth, well demarcated, or well encapsulated nodules or mass. If there are reasons to point to something more serious (such as heavy bleeding, irregular tumor borders, weight loss, etc), then your doctor may request a currettage or similar sampling procedures, or proceed outright to hysterectomy. Adenomyosis on the other hand, is the extension of the endometrium (the glandular layer) towards the myometrium (the muscle layer). This is indeed not cancerous and does not turn into one. Those without any symptoms like the ones you mentioned may be followed up regularly and intervention only done if you develop these symptoms. Unfortunately, even an MRI or any other test would not be 100% sure in detecting adenomyosis, and the sure way to diagnose this condition is through pathologic examination once the uterus is removed surgically. However, your doctor or gynecologist may do a currettage if she thinks there is reason to suspect a more serious condition. I suggest you talk to the doctor him/herself to verify what you really have, and if your doctors are confident that this is nothing to get worried about, then I would suggest to stop all the worries. Regards and God bless.