Background: Adenomyosis is a relatively frequent finding in the series of hysterectomies preformed for menorrhagia and dysmenorrhoea. In spite of the fact that it causes distressing and often serious functional disturbances requiring major operation for correction, many physicians, even gynaecologists have only a passing acquaintance with this entity. Aim: The present study sought to evaluate the clinopathological aspects of adenomyosis. Materials and Methods: The present study is a descriptive analysis of 896 hysterectomies received to the department of pathology J.J.M Medical College, Davangere, for a period of 2 years. Adenomyosis reported in 896 (49.04%) of 1827 uteri were included in the study irrespective of the preoperative diagnosis. When adenomyosis was found it was recorded and graded as to depth of penetration and degree of involvement. Results: The prevalence of adenomyosis in 1827 hysterectomy specimen was 49.04% (896). Age of patients ranged from 20 __ampersandsignndash;75 years. The parity ranged from one to ten. Menorrhagia was the commonest symptom. Leiomyoma was the common associated pathological lesion. In correlating adenomyosis with clinical symptoms, menorrhagia and dysmenorrhoea increases in frequency as the depth of penetration and degree of involvement of adenomyosis increases. Conclusion: Adenomyosis is not a rare histopathological finding. Available evidence seems to generate uncertainty regarding a casual relationship between adenomyosis and the symptoms attributed to it. Majority of the patients with adenomyosis presented with various clinical features, which were clinically attributed to associated diseases.