Adenomyosis exam finding is classically which of the following?

• A. Enlarged boggy uterus on exam.
• B. Firm, tactile nodularity of uterus.
• C. Cervical dilation with irregular uterus.
• D. Adnexal mass.

Answer: (A)

Adenomyosis causes endometrial tissue to invade the myometrium, leading diffuse thickening of the uterus that is typically symmetrically enlarged and soft — described as a boggy, tender uterus on exam. This contrasts with fibroids, which often produce a firm, nodular uterus with irregular contour. The other findings point to different problems: cervical dilation with an irregular uterus suggests cervical or obstetric issues, and an adnexal mass indicates ovarian pathology. So the classic exam finding for adenomyosis is an enlarged, boggy uterus.