Adenomyosis

Service Overview

What Is Adenomyosis?

Adenomyosis occurs when tissue similar to the endometrium grows within the muscular wall of the uterus, known as the myometrium.

It can cause the uterus to become enlarged or tender and may contribute to:

• Heavy menstrual bleeding
• Painful periods
• Pelvic pain
• Chronic pelvic discomfort
• Pressure or heaviness in the lower abdomen
• Fertility concerns in some women

Some women with adenomyosis have no noticeable symptoms.

What Causes Adenomyosis?

The exact cause of adenomyosis is not fully understood.

Several mechanisms have been proposed, and the condition may be associated with hormonal and reproductive factors.

Adenomyosis may occur alongside other conditions, including:

• Endometriosis
• Uterine fibroids
• Endometrial polyps
• Other causes of heavy menstrual bleeding

A complete evaluation can help distinguish adenomyosis from other causes of pelvic symptoms.

Symptoms of Adenomyosis

Symptoms can vary from mild to significant.

Possible symptoms include:

• Heavy menstrual bleeding
• Prolonged periods
• Severe menstrual cramps
• Pelvic pain
• Chronic pelvic discomfort
• Pain during intercourse
• Pelvic pressure
• Abdominal heaviness
• Fatigue related to anaemia
• Difficulty conceiving in some cases

Some women have adenomyosis without symptoms.

Adenomyosis and Heavy Periods

Heavy menstrual bleeding is a common reason women with adenomyosis seek medical attention.

Persistent heavy bleeding can sometimes lead to iron-deficiency anaemia, which may cause:

• Fatigue
• Weakness
• Dizziness
• Reduced exercise tolerance
• Shortness of breath

If menstrual bleeding has become unusually heavy or prolonged, a gynaecological assessment can help identify the underlying cause.

Adenomyosis and Painful Periods

Adenomyosis can cause significant menstrual pain.

Pain may:

• Begin before menstruation
• Continue during the period
• Become more severe over time
• Be associated with pelvic tenderness
• Occur alongside heavy menstrual bleeding

Severe or worsening period pain should be evaluated because endometriosis, fibroids, and other conditions can produce similar symptoms.

Adenomyosis and Fertility

The relationship between adenomyosis and fertility is an area of ongoing research.

Adenomyosis may be associated with difficulty conceiving or certain pregnancy outcomes in some women, although not every woman with adenomyosis has fertility problems.

When pregnancy is desired, treatment planning may consider:

• Age
• Duration of infertility
• Adenomyosis characteristics
• Ovarian reserve
• Tubal function
• Previous pregnancy history
• Endometriosis or fibroids
• Sperm factors
• Previous fertility treatment

A fertility-focused consultation may be appropriate when conception has not occurred or pregnancy is being planned.

Adenomyosis and Pregnancy

Many women with adenomyosis can become pregnant.

However, adenomyosis may be associated with certain pregnancy-related risks in some patients. Individual risk depends on factors such as age, disease characteristics, previous pregnancy history, and other medical conditions.

Women with known adenomyosis who are planning pregnancy may benefit from preconception counselling.

How Is Adenomyosis Diagnosed?

Diagnosis generally begins with a detailed medical and menstrual history.

Evaluation may include:

• Pelvic examination when appropriate
• Transvaginal ultrasound
• Specialist ultrasound when indicated
• MRI in selected cases
• Blood tests when clinically appropriate
• Other investigations to exclude alternative causes

Ultrasound and MRI can provide information about the structure of the uterus and features that may suggest adenomyosis.

Adenomyosis on Ultrasound

Adenomyosis may produce characteristic changes on ultrasound, although findings can vary.

A specialist ultrasound may assess:

• Uterine size
• Uterine wall appearance
• Myometrial texture
• Thickness of the uterine walls
• Areas of abnormal tissue
• Other pelvic abnormalities

Imaging findings should be interpreted together with symptoms and medical history.

Adenomyosis and MRI

MRI may be recommended when ultrasound findings are unclear or when more detailed information about the uterus is needed.

MRI can help evaluate:

• Extent of adenomyosis
• Location of abnormal tissue
• Uterine structure
• Coexisting fibroids
• Other pelvic conditions

Not every patient with suspected adenomyosis requires an MRI.

Adenomyosis vs Endometriosis

Adenomyosis and endometriosis are different conditions, although they can occur together.

Adenomyosis involves tissue similar to the uterine lining growing within the muscular wall of the uterus.

Endometriosis involves tissue similar to the uterine lining growing outside the uterus.

Both conditions can cause:

• Painful periods
• Pelvic pain
• Pain during intercourse
• Fertility concerns

A detailed assessment can help determine whether one or both conditions may be present.

Adenomyosis vs Fibroids

Adenomyosis and fibroids can both cause heavy menstrual bleeding and pelvic symptoms, but they are different conditions.

Fibroids are benign growths arising from the muscular tissue of the uterus.

Adenomyosis involves endometrial-like tissue within the uterine muscle.

Ultrasound and, when necessary, MRI can help distinguish between these conditions.

Adenomyosis Management Options

Treatment depends on symptoms and reproductive goals.

Management may include:

• Observation
• Pain-relieving medication
• Hormonal treatment
• Treatment for heavy menstrual bleeding
• Intrauterine hormonal therapy in selected patients
• Fertility-focused management
• Surgery in selected circumstances

There is no single treatment that is appropriate for everyone with adenomyosis.

Medical Management of Adenomyosis

Medication can help control symptoms for many patients.

Depending on individual circumstances, treatment may include:

• Non-steroidal anti-inflammatory medicines for pain
• Hormonal contraceptive treatment
• Progestogen-based treatment
• Other hormonal therapies
• Medication aimed at reducing heavy menstrual bleeding

The choice depends on symptoms, medical history, side effects, contraception needs, and whether pregnancy is currently desired.

Hormonal Treatment for Adenomyosis

Hormonal treatment may reduce menstrual bleeding and pain in appropriate patients.

A doctor may discuss options such as:

• Oral hormonal medication
• Progestogen-based treatment
• Hormonal intrauterine systems
• Other hormonal approaches

Treatment should be selected according to the patient's symptoms, health history, and reproductive plans.

Adenomyosis and Fertility Treatment

Women with adenomyosis who are having difficulty conceiving may require an evaluation of both adenomyosis and other fertility factors.

Assessment may include:

• Ovulation
• Ovarian reserve
• Fallopian-tube function
• Uterine anatomy
• Sperm factors
• Previous pregnancy history
• Previous fertility treatment

Depending on the circumstances, treatment may involve expectant management, medication, fertility treatment, or other interventions.

Surgery for Adenomyosis

Surgery is not required for every woman with adenomyosis.

Surgical treatment may be considered in selected circumstances when symptoms are significant and other approaches have not provided adequate relief.

The type of surgery depends on:

• Extent of disease
• Location of adenomyosis
• Severity of symptoms
• Age
• Fertility plans
• Previous treatments
• Overall health

For women who wish to preserve fertility, the potential benefits and risks of conservative surgery should be discussed carefully.

Hysterectomy for Adenomyosis

Hysterectomy is the definitive surgical treatment for adenomyosis because it removes the uterus.

It may be considered for women with severe symptoms who:

• Have completed their family
• Do not wish to preserve fertility
• Have not achieved adequate symptom control with other treatments
• Are appropriate candidates for surgery

The decision should be made after discussing alternative treatment options and individual circumstances.

Adenomyosis and Fertility Preservation

For women who wish to preserve fertility, treatment planning should take reproductive goals into account.

Important considerations may include:

• Age
• Ovarian reserve
• Disease extent
• Severity of symptoms
• Previous uterine surgery
• Endometriosis
• Fibroids
• Fertility history

A fertility specialist or gynaecologist can discuss whether fertility preservation or fertility treatment should be considered.

When Should You See an Adenomyosis Specialist?

Consider a consultation if you have:

• Heavy menstrual bleeding
• Severe or worsening period pain
• Persistent pelvic pain
• Pain during intercourse
• Anaemia associated with menstruation
• An enlarged or tender uterus
• Suspected adenomyosis on ultrasound
• Difficulty conceiving
• Previously diagnosed adenomyosis
• Symptoms that interfere with daily activities

Adenomyosis Consultation in Dwarka

An adenomyosis consultation generally begins with a detailed review of symptoms and reproductive history.

Your doctor may discuss:

• Menstrual cycle pattern
• Amount and duration of bleeding
• Pain severity
• Previous pregnancies
• Fertility concerns
• Previous ultrasound or MRI findings
• Medical conditions
• Previous treatments
• Current medications
• Future pregnancy plans

Previous imaging and medical records can help your specialist understand your condition more completely.

Adenomyosis Specialist in Dwarka Delhi

If you are searching for an adenomyosis specialist in Dwarka Delhi, a specialist consultation can help evaluate heavy menstrual bleeding, painful periods, pelvic pain, and fertility concerns associated with adenomyosis.

Patients from Dwarka Sector 6, Sector 7, Sector 10, Sector 11, Sector 12, Sector 13, Sector 14, Sector 17, Sector 19, Dwarka Mor, and surrounding Delhi NCR areas may seek consultation for:

• Suspected adenomyosis
• Diagnosed adenomyosis
• Heavy menstrual bleeding
• Severe period pain
• Chronic pelvic pain
• Adenomyosis-related fertility concerns
• Adenomyosis with fibroids
• Adenomyosis with endometriosis
• Medical management
• Fertility-focused management
• Surgical evaluation

CTA: Schedule Adenomyosis Consultation in Dwarka

Adenomyosis Management Cost in Dwarka

The cost of adenomyosis evaluation and management depends on the investigations and treatment required.

Potential costs may include:

• Specialist consultation
• Pelvic ultrasound
• Transvaginal ultrasound
• MRI when indicated
• Blood tests
• Medication
• Follow-up consultations
• Fertility evaluation
• Surgical treatment when required

Not every patient requires all of these investigations or treatments.

A personalised estimate can be provided after evaluation and development of a treatment plan.

CTA: Enquire About Adenomyosis Management Cost in Dwarka

Preparing for Your Adenomyosis Consultation

Bring previous medical records when available, including:

• Ultrasound reports
• MRI reports
• Blood-test results
• Previous operative notes
• Pregnancy records
• Fertility-treatment records
• Current medication list

It can also be helpful to record:

• Period dates
• Number of days of bleeding
• Heavy-bleeding episodes
• Pain severity
• Pain location
• Medication used for pain
• Changes in menstrual symptoms