Most cases of adenomyosis are non-symptomatic. However, it may present with dysmenorrhea and pelvic pain. In the case of juvenile cystic adenomyoma, laparoscopic enucleation results in a statistically and clinically significant reduction in dysmenorrhea, ease in any chronic pelvic pain, and low risk of recurrence.
^Takeuchi H, Kitade M, Kikuchi I, Kumakiri J, Kuroda K, Jinushi M (June 2009). "Diagnosis, laparoscopic management, and histopathologic findings of juvenile cystic adenomyoma: a review of nine cases". Fertil. Steril. 94 (3): 862–868. doi:10.1016/j.fertnstert.2009.05.010. PMID19539912.