In the context of adenomyosis, which symptom is most likely to lead a woman to seek medical attention?

Menorrhagia, or heavy menstrual bleeding, is a hallmark symptom of adenomyosis and is the most likely reason for a woman to seek medical attention. This condition involves the lining of the uterus (endometrium) growing into the muscular walls of the uterus, which can lead to prolonged and heavy menstrual periods. The significant amount of bleeding can cause considerable discomfort and disrupt daily activities, prompting women to consult healthcare providers for relief and management options.

While irregular menstrual cycles, weight gain, and fatigue can be associated with various gynecological conditions, they are often less specific and impactful than menorrhagia in the context of adenomyosis. Heavy bleeding is generally more distressing and harder for women to manage without medical intervention, making it a more compelling reason for them to seek help. Thus, menorrhagia stands out as the primary symptom that drives women to actively pursue a diagnosis or treatment for adenomyosis.