Adenomyosis Treatment
Adenomyosis is a condition where the endometrial tissue (inner lining of the uterus) grows into the muscular wall of the uterus (myometrium). It causes the uterus to enlarge and leads to heavy, painful periods. It most commonly affects women in their 30s and 40s.
Dr. Sowmya Sampurna offers tailored treatment plans based on the severity of symptoms, the patient's age, and fertility goals.
Common Symptoms
- Heavy menstrual bleeding (menorrhagia)
- Severe menstrual cramps
- Prolonged periods
- Bloating and pelvic pressure
- Pain during intercourse
- Enlarged, tender uterus
- Blood clots during menstruation
Diagnosis
- Transvaginal ultrasound showing characteristic findings
- MRI for detailed assessment
- Clinical evaluation of symptoms and uterine size
Treatment Options
- Medical Management: Hormonal therapy (progestins, GnRH analogues) to reduce bleeding and pain
- Levonorgestrel IUD (Mirena): Hormone-releasing intrauterine device to control symptoms
- Anti-Inflammatory Medications: NSAIDs for pain relief during periods
- Uterine Artery Embolisation: Interventional radiology procedure to reduce blood supply
- Hysterectomy: Definitive surgical treatment for severe cases in women who have completed their families
- Accurate diagnosis with advanced imaging
- Multiple treatment options based on individual needs
- Fertility-preserving medical management
- Significant reduction in bleeding and pain
- Improved daily functioning and quality of life
Dr. Sowmya Sampurna understands the impact of adenomyosis on a woman's quality of life and fertility. She offers individualised treatment plans that balance symptom relief with fertility preservation when desired.
No. While both involve endometrial tissue, in adenomyosis the tissue grows into the uterine muscle, whereas in endometriosis it grows outside the uterus. However, they can coexist.
Adenomyosis can affect fertility, but many women with the condition do conceive. Medical treatment can help manage symptoms while preserving the uterus for future pregnancies.