Adenomyosis

What Is Adenomyosis?

Adenomyosis is a condition where the inner lining of the uterus (endometrial tissue) grows into the muscular wall of the uterus. This can cause the uterus to enlarge and lead to severe menstrual pain, heavy bleeding, and chronic pelvic discomfort. Though benign, adenomyosis can significantly affect a woman’s quality of life.

What Symptoms Indicate Adenomyosis?

• Heavy and prolonged menstrual bleeding, sometimes with large clots.
• Intense period cramps that worsen over time.
• A swollen or enlarged uterus leading to bloating or pressure.
• Pain during sexual intercourse and persistent pelvic discomfort.
• Fatigue and anemia due to excessive blood loss.

What Causes Adenomyosis?

The exact cause is unknown, but several factors may contribute to its development:

• Hormonal imbalances, particularly excess estrogen.
• Prior uterine surgery, such as a C-section or fibroid removal.
• Childbirth-related changes in the uterus.
• Inflammation or genetic predisposition.

How Is Adenomyosis Diagnosed?

Diagnosis often involves a combination of medical history, pelvic examination, and imaging tests. Ultrasound and MRI scans help identify uterine thickening and abnormal tissue growth. In some cases, a biopsy may be required to rule out other conditions like endometriosis or fibroids.

What Are the Conservative Treatment Options?

For mild to moderate symptoms, doctors may recommend:

• Hormonal Therapy: Birth control pills, IUDs, or hormonal injections to regulate bleeding.
• Pain Management: NSAIDs (such as ibuprofen) to relieve cramps.
• Lifestyle Changes: Regular exercise, a balanced diet, and stress management techniques.
• Iron Supplements: To counteract anaemia from excessive bleeding.

When Should You Consider Surgical Options?

If medications and conservative treatments fail to provide relief, surgical intervention may be necessary. Women experiencing severe pain, excessive bleeding, or significant impact on daily life may require a more permanent solution.

What Are the Surgical Treatments for Adenomyosis?

• Adenomyomectomy: Removal of the affected part of the uterus while preserving fertility.
• Endometrial Ablation: A minimally invasive procedure to reduce heavy bleeding.
• Hysterectomy: Complete removal of the uterus, often recommended for women who no longer plan to conceive.

How Can Robotic Surgery Help in Adenomyosis Treatment?

Robotic-assisted surgery offers a highly precise and minimally invasive approach to treating adenomyosis. It involves small incisions, reducing blood loss and post-operative pain. The advanced robotic system allows surgeons to operate with enhanced precision, leading to quicker recovery and better outcomes.

What Are the Benefits of Minimally Invasive Surgery?

• Smaller incisions mean less scarring and discomfort.
• Reduced hospital stay and faster recovery time.
• Lower risk of complications compared to open surgery.
• Better preservation of surrounding healthy tissue, especially for fertility-conserving procedures.

Is Surgery the Only Solution?

Not always. Many women find relief through non-surgical treatments, but for those with severe adenomyosis, surgery offers long-term benefits. The decision depends on individual symptoms, reproductive goals, and how the condition affects daily life. Consulting a specialist is crucial to determine the best course of action.

If painful periods and heavy bleeding are taking over your life, Adenomyosis treatment in Mumbai has advanced treatment options to help you regain control. Under the guidance of an expert gynecologist in Mumbai, you can explore both conservative and surgical approaches tailored to your needs. Dr. Maitreyee Parulekar specializes in adenomyosis treatment, offering expert care and modern surgical techniques. Don’t let adenomyosis affect your quality of life—schedule a consultation today!