What is Adenomyosis?
Adenomyosis is a relatively widespread gynecological condition that causes the tissue that lines the uterus to grow into the uterus’ muscular walls. Although the majority of women with this condition experience no symptoms at all, about one-third suffers from symptoms like heavy periods, pelvic pain, and bladder pressure.
This condition may affect 20% to 65% of females and often develops during a woman’s reproductive years. While not life-threatening, adenomyosis can cause severe pain and discomfort, which is why treatment is recommended for those suffering from symptoms.
Causes & Risks
Although the exact causes aren’t known, various studies have suggested a link to hormones like estrogen, progesterone, prolactin, and follicle-stimulating hormones.
- Although adenomyosis doesn’t directly cause infertility, there seems to be a link between it and other possible conditions. The issues contribute to difficulty becoming pregnant or carrying a pregnancy to term.
- Prolonged or profuse menstrual bleeding experienced by women with adenomyosis can sometimes cause a woman to become anemic, a condition often caused by an iron deficiency.
Diagnosis & Care
Previously, even the best fibroid doctor could diagnose adenomyosis only by examining uterine cells under a microscope after performing a hysterectomy. Today, new imaging technology allows our specialists to see and accurately pinpoint locations and amounts of the displaced cells.
Because the symptoms of fibroids and adenomyosis are so similar, misdiagnosis is incredibly common. It takes the very skilled eye of a gynecologist specializing in the treatment of both fibroids and adenomyosis to distinguish the difference. The Viva Eve team of fibroid and adenomyosis experts will be able properly diagnose your condition and suggest the best course of treatment.
No two patients with adenomyosis are alike. And that means that treating this condition will not look the same for everyone. There are several factors that will determine which course of treatment is the best for you, including your age, your risk factors, your medical history, and the severity of your symptoms.
Determining a Diagnosis
After taking a thorough medical history and performing a medical exam that includes a pelvic examination, your gynecologist specializing in adenomyosis can use an MRI or a transvaginal ultrasound to rule out any other conditions — without the need for surgery. Occasionally, the best method for diagnosing your condition may be to conduct an endometrial biopsy. Advanced diagnostic tools increase the chances of accurate diagnosis and more effective treatment options
Discussing Your Options
Your physician should discuss with you the pros and cons of minimally invasive, uterus-sparing therapies, like UAE, which has been proven very effective in the treatment of adenomyosis. You will likely also discuss surgical interventions such as a hysterectomy.
At Viva Eve, our team of specialists will explore all of your treatment options with you and recommend an appropriate course of treatment based on your medical case and unique circumstances. We offer surgical and nonsurgical treatment options, including minimally invasive therapies to treat adenomyosis, such as uterine artery embolization (UAE). Patients receive thorough facts and candid conversation about procedures and treatment options.
Treatment Options Include
Hormone Therapies – Hormones moderate the production of estrogen and progesterone, putting patient in temporary postmenopausal state. When hormone production decreases, fibroids shrink and symptoms improve.
Uterine Artery Embolization – This minimally invasive, nonsurgical procedure blocks the blood flow to the adenomyosis, causing them to shrink. It is performed by an interventional radiologist.
Hysterectomy – The only curative treatment for adenomyosis is complete removal of the uterus. While this permanently relieves symptoms, it results in a loss of fertility. Women wishing to conceive should not undergo a hysterectomy.