Abnormal uterine bleeding (AUB) is a common cause for women in the reproductive age group to be diagnosed with Adenomyosis. The prevalence of adenomyosis varies widely from 5% to 70%which is probably related to inconsistencies in the histopathologic criteria for diagnosis. The present study recorded a prevalence of 48.6 %. Two cases have been observed which showed cystic changes along with bleeding tract formation besides the uterine canal.