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adenomyosis

What is Adenomyosis?

Adenomyosis is a condition where the endometrium blood lining that typically grows on the uterine wall, starts to grow inside its own muscles.

With no space to flow out, the blood deposit continues to collect in the uterine wall, hence, enlarging the uterus more than its normal size.  It thus causes unbearable and sharp, knife-like pain during menses and chronic pelvic pain that increases during sexual penetration. It is also known to make natural conception substantially difficult.

Adenomyosis causes

Why Does It Happen?

While adenomyosis is a fairly common disease and both doctors and bioscientists have different theories on why it happens, there is yet not a commonly agreed theory on its exact cause. 

Hence, the exact cause for adenomyosis remains uncertain in medical sciences.

Grades of Adenomyosis

Superficial Adenomyosis

Grade 1

Deep Adenomyosis

Grade 2

Entire Mayometrium

Grade 3

Risk Factors

  • Genetic pre-disposal
  • Reproductive age
  • At least 1 pregnancy

Symptoms

  • Heavy menstrual bleeding (menorrhagia)
  • Sharp and knife-like painful cramping (dysmenorrhagia)
  • Chronic pelvic pain
  • Pain during sex
  • Difficulty in conception (female factor infertility)
  • Enlarged uterus on the ultrasound report

Diagnosis

Ultrasound (An imaging test that uses high-frequency sound waves to produce images of the internal body organs.) 

Procedure: Ultrasound is a simple, 7-10 minutes procedure. A trained technician or doctor applies some water-soluble gel at the lower abdomen and presses a small handheld device against the area. The sound waves sent through the device help print the image almost immediately. You can get up and change thereafter. 

(The test does not require fasting. You can eat and drink however you like.)

Confirmation: An enlarged uterus on the ultrasound report is suggestive of adenomyosis. 

Ultrasound

Risks & Complications

The only surgical solution for adenomyosis is hysterectomy, that is, the removal of the uterus. While hysterectomy is infamous for its complications, it is a fairly safe, common, and standardized surgery with only mild-moderate chances of risks or complications. These too, are lessened drastically with the new age laparoscopic method. 

However, some of the rare complications of hysterectomy include-

  • General anesthetic complications
  • Excessive bleeding
  • Blood clotting
  • Damage to the surrounding organs, such as the bladder, ovaries, ureter, or rectum. 

When to Consult a Doctor

Consult your gynecologist as soon as you experience :

  • Abnormally heavier menstrual flow
  • Sharp, knife-like cramping during menses
  • Regular and sharp abdominal pain with heaviness and exertion
  • Difficulty in conception

Questions To Ask Your Doctor

How severe is my adenomyosis?
How severe is my adenomyosis?
Can my pain be managed through medications, or is uterus removal necessary?
What are my options for hormonal treatments?
Are there any side effects of birth control medications?
What are my chances at natural conception?
What are my best options for fertility treatments using assisted reproductive technology?
What are the different modes of payment accepted?
Which insurances do you accept?

Treatment Options & Cost

Unfortunately, adenomyosis cannot be treated. It’s only the pain that can be relieved through pain killers, or the rate of growth that can be managed through hormonal medicines, devices, or therapies. 

Typically, doctor consultation and medications for adenomyosis cost an average of INR 2000- INR 3000 in India.

Insurance for Adenomyosis Treatment
Insurance for Adenomyosis TreatmentInsurance Coverage

Yes, insurance covers the surgical treatment cost for hysterectomy done because of adenomyosis as it falls under the ‘medically necessary’ list of treatments. However, the cost capping may vary from case to case. Please confirm the same from your healthcare or insurance provider.

Recovery Rate

For laparoscopic hysterectomy, the recovery period runs between 7-10 days. Whereas open-cut hysterectomy surgery requires a rest period of a minimum of 5-6 weeks.

Long Term Outlook

Hysterectomy is a fairly safe and common surgery in gynecology. However, it must be performed only at later stages where the family is complete and the woman desires no further childbirth. 

It holds no long-term side effects and is commonly preferred for permanent treatment.

Pristyn Care for the treament

Case Study

Mrs. P (39 years, Hyderabad) approached us with complaints of abnormally sharp pain during menses. On further testing, the ultrasound confirmed enlarged uterus which was highly suggestive of adenomyosis. 

After explaining the condition in detail, and its possible treatment options, Dr. Patel and Mrs. P considered it best to start with oral contraceptive pills and pain killers for the first 6 months. Thereafter, eventually examining the need for the surgery. 

However, the medications did not do much for Mrs. P. She continued to experience considerable pain during menses. Therefore, she approached us again after 4 months, asking for a more definite and permanent solution. With her family complete, we gave her the option for hysterectomy. 

Soon after the patient agreed, we scheduled her with total laparoscopic hysterectomy under Dr. Patel. The surgery was successful and the patient was discharged healthy and sound after 1 day of hospitalization. 

Follow-up after 10 days confirmed complete recovery. 

 

Latest Research

FAQ

How common is adenomyosis?

More than 20-65% of women worldwide suffer from adenomyosis.

Which type of doctor treats adenomyosis?

Adenomyosis is best treated by a gynecologist. At times, both- a gynecologist and endocrinologist, or general surgeon may work together to treat some of the co-morbidities such as thyroid, diabetes, etc. 

What are the best medications for adenomyosis?

The typical medications prescribed for adenomyosis include pain killers, oral contraceptives, and hormone therapies. The pain killers help manage the pain and its symptoms, whereas the oral contraceptives or hormone devices halt the ovulation cycle, thereby, providing a good rest period to the reproductive system. This rest in turn, helps manage the pain and symptoms while supporting healing.

What are the common side effects of oral contraceptive medications?

Oral contraceptives take an average of 3 weeks to 3 months to properly adjust to the body. During this time, many patients report extreme mood swings, bloating, intermenstrual bleeding, nausea, drowsiness, and more. Also, they must not be taken for longer than five years, or they may risk heart-related diseases.

Why choose Pristyn Care for adenomyosis treatment?

 

Pristyn Care brings the most advanced and holistic gyne treatments with its experienced doctors and latest laparoscopic and laser technology in 15+ cities in India. We are associated with multiple reputed gyne-clinics and super-specialty hospitals, giving you the option to choose amongst the best hospitals that suit your needs, be it the hospital distance, its infrastructure, or insurance panel. 

As you choose Pristyn Care for your treatments, you get some of the added benefits.  These include:

  • Free online/ in-clinic consultations: We offer free consultations. Also, you have the choice to speak with the doctor in-clinic or offline, sitting from the comfort of your home. You can ask as many questions, and we ensure we give you the right and detailed answers. 
  • Free transportation to and from the hospital: We provide free cab pick up and drop off from and to your residence on the day of surgery.
  • Minimal-no waiting time for hospital admission: We perform most of our admission formalities beforehand, so you do not have to wait for hospital admission at the site. 
  • All paperwork done on your behalf: We do all your hospital admission and discharge paperwork ourselves on your behalf to reduce your hassles and provide a seamless patient experience. 
  • Multiple payment options: We accepts all modes of payment including cash, credit, and debit card. 
  • All insurances accepted: We accept all insurances and offer cash-less facilities at most of the hospitals. 
  • No cost EMI option: You can also opt for the No cost EMI option while paying for your medical bills. 
  • Free follow-up: We provide free follow-up post consultations to ensure a complete and smooth recovery. 

How to book an appointment with a Pristyn Care Gynecologist for adenomyosis?

Booking an appointment with a Pristyn Care gynecologist is easy. 

Simply call us directly or fill out our ‘Book my Appointment’ form.  It would ask you just four basic questions such as ‘Your name’, ‘Contact’, ‘Disease name’, and ‘City’. Just fill them and click ‘submit’. Our medical coordinators will call you shortly and help you speak to a doctor of your choice. 

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