Adenomyosis

Giggles Hospital’s Specialized Care for Adenomyosis  

Adenomyosis occurs when the lining of the uterus grows into the muscle , causing the uterus to become thicker and larger, sometimes even doubling or tripling in size. This condition often lacks noticeable symptoms, leading many AFAB individuals to remain unaware of their condition. The prevalence of Adenomyosis varies widely among women and AFAB individuals.

Research suggests that Adenomyosis is more common in individuals who have had uterine surgery. Among teenagers experiencing severe menstrual pain, 2 to 5 percent over the age of 40 are affected by this condition.

What are the Causes of Adenomyosis?  

The exact cause of Adenomyosis is still not known, but there are various theories: 

Fetal Development

Adenomyosis may exist in an individual before birth when the uterus first develops in a fetus. 

Inflammation

Adenomyosis risk may be increased by uterine inflammation that develops during uterine surgery. 

Invasive tissue

Adenomyosis can also be brought on by uterine damage, such as during a cesarean delivery or surgery. This is because the tissue that resembles the endometrium grows inside the muscle. 

Symptoms of Adenomyosis  

Adenomyosis can sometimes have no signs or mild symptoms, while in other cases, it can lead to:

  • Prolonged or heavy menstrual bleeding 
  • Severe cramping or acute, knife-like pelvic pain while menstruating 
  • Pelvic discomfort that persists 
  • Painful sex act 

Adenomyosis can cause the uterus to grow, resulting in feelings of pressure or soreness in the lower abdomen, even if the exact cause is unclear.

Diagnosis of Adenomyosis 

Your symptoms and the results of one or more of these tests can help our doctors at Women And Children Hospital in Vizag determine if you have Adenomyosis: 

Pelvic examination

During a pelvic exam, your doctor may discover that your uterus has grown bigger, gotten softer, or is uncomfortable to the touch. 

Ultrasound

A transvaginal ultrasound uses sound waves to visualize your pelvic organs, and it may show a thicker uterine wall in the images.

Images

Magnetic resonance imaging (MRI) can detect uterine enlargement and thickening in specific areas. A biopsy helps rule out more serious conditions by extracting and examining tissue for signs of other disorders.

Treatment options for Adenomyosis 

Treatment may vary depending on how near you are to menopause, when Adenomyosis frequently disappears. Adenomyosis can be treated in the following ways – 

Anti-inflammatory medications

Ibuprofen (Advil, Motrin IB, among others) or other anti-inflammatory drugs may be given by your doctor to treat the pain. You can reduce menstrual blood flow and ease pain by taking an anti-inflammatory medication a day or two before the start of your period and continuing to take it throughout. 

Hormone-related drugs

Birth control tablets that include estrogen and progestin, hormone patches, or vaginal rings may alleviate the pain and severe bleeding that come with Adenomyosis. Amenorrhea, the absence of your menstrual cycles, is frequently caused by progestin-only contraception, such as an intrauterine device or continuous-use birth control pills, which may offer some relief. 

Ablating the endometrium

Techniques to eliminate or destroy the endometrium are used in endometrial ablation. With a short recovery period, it is an outpatient operation. Although a biopsy is useful for ruling out other conditions, it may not be effective for everyone due to the deep invasion of Adenomyosis into the muscle. It is typically recommended for individuals who are not planning to conceive or are past childbearing age.

Stenting of the uterine artery

Uterine artery embolization, a procedure that cuts off blood supply to the affected area, can shrink adenomyomas by stopping blood flow. This surgery is commonly used for the treatment of uterine fibroids.

Prevention of Adenomyosis  

Prevention and treatment options for Adenomyosis include:

  1. Birth control pills and intrauterine hormonal methods.
  2. Depo-Provera injections.
  3. Nonhormonal medications like tranexamic acid to reduce vaginal bleeding.
  4. Adenomyomectomy, a surgical procedure to remove Adenomyosis from the uterine muscle, can be a curative approach.

Why Choose Giggles Hospitals?

Giggles hospitals is India’s one of the best ​​Gynecology Hospitals in India. We prioritize our patient’s health when it comes to any issues or conditions such as Adenomyosis. Adenomyosis can be dangerous if not treated on time. Thus, book an appointment with us if you experience any signs and symptoms of the conditions. We are here to help you!

Our Doctors

Dr. Batchu Sowdamini

Senior Consultant Obstetrician and Gynaecologist View Profile
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Dr. Radhika Jupally

Gynecologist and Obstetrician View Profile
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Dr. Padmaja S

Gynaecologist and Obstetrician View Profile
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Frequently Asked Questions

Though Adenomyosis is considered a benign condition, the pain caused by the condition can have a severe negative impact on a woman’s life.

The presence of Adenomyosis is associated with endometrial adenocarcinoma. This is a common gynecologic cancer. 

Adenomyosis is typically hormone-sensitive and tends to resolve after menopause, which occurs 12 months after an individual’s last menstrual period.

The condition is most likely to affect women between the ages of 35 to 50. It is most common in women who have had two or more pregnancies.

This disorder can interfere with a patient’s ability to become pregnant in addition to causing symptoms that interfere with daily life.