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By Mayo Clinic staffAlthough not harmful, the pain and excessive bleeding associated with adenomyosis can have a negative effect on your lifestyle. You may find yourself avoiding activities that you previously enjoyed because you have no idea when or where you might start bleeding. Painful periods can cause you to miss work or school and can strain relationships. Recurring pain can lead to depression, irritability, anxiety, anger and feelings of helplessness. That's why it's important to seek medical evaluation if you suspect you may have adenomyosis.
Unlike endometriosis, adenomyosis doesn't usually affect fertility. However, if you experience prolonged, heavy bleeding, chronic anemia may result.