Inhomogeneous uterus texture refers to the appearance of focal masses giving a nonuniform heterogeneous surface of the uterus exterior wall, according to National Center for Biotechnology Information. The two most common causes of inhomogeneous uterus are uterine fibroids and adenomyosis.
Uterine fibroids are benign tumors of muscular or fibrous tissue that develop on the outer endometrial uterine wall, states NCBI. Adenomyosis is a noncancerous condition whereby the inner lining of the uterus gland grows through to the muscular outer wall. Often, adenomyosis mimics symptoms of fibroids. Inhomogeneous uterus is very common and affects 50 to 70 percent of women by age 50. Mild-to-moderate fibroids and adenomyosis generally do not affect a woman’s ability to have a child, and the majority of women with these conditions do not have symptoms.
Women presenting symptoms can experience abnormally heavy menstrual flow, pelvic pain, miscarriage, bladder dysfunction, cramping, infertility and complications during pregnancy, reports NCBI. Fibroids typically increase in size during pregnancy and decrease after menopause. The solution for moderate-to-severe symptomatic cases is a hysterectomy, a procedure in which the uterus is removed. Women at higher risk for inhomogeneous uterus are women of African decent, women who experience early menarche and women who are obese. Ultrasound testing indicates the presence of fibroids and adenomyosis; however, magnetic resonance imaging is the preferred imaging test for characterizing and finding the exact location of fibroids.