Adenomyosis
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Adenomyosis
Adenomyosis is a gynecological condition where the inner lining of the uterus (endometrium) grows into the muscular wall of the uterus (myometrium). This leads to an enlarged, tender uterus, often accompanied by painful and heavy menstrual bleeding. While it is a benign (non-cancerous) condition, it can severely affect a woman’s quality of life and daily functioning.
Adenomyosis typically affects women between the ages of 35 and 50 and is often diagnosed in those who have had children.
Common Symptoms of Adenomyosis
Heavy or prolonged menstrual bleeding
Severe menstrual cramps (dysmenorrhea)
Pelvic pain or pressure
Pain during intercourse
Abdominal bloating or a feeling of fullness
Chronic fatigue during periods
Difficulty conceiving in some cases
Causes and Risk Factors
Hormonal imbalances (especially estrogen dominance)
Previous uterine surgeries, such as C-section or fibroid removal
Inflammation during childbirth
Middle age and prior pregnancies
Diagnosis of Adenomyosis
Detailed history and pelvic examination
Transvaginal ultrasound to check for uterine thickening
MRI to confirm and distinguish adenomyosis from other conditions like fibroids
Exclusion of other causes of abnormal uterine bleeding or pain
Treatment Options for Adenomyosis
Pain relief: NSAIDs for cramps and pelvic pain
Hormonal therapies: Birth control pills, progestin-only therapy, GnRH analogs
Hormonal IUD (e.g., Mirena) to reduce bleeding and pain
Adenomyomectomy: Surgical removal of localized adenomyotic tissue while preserving the uterus (fertility-preserving)
Hysterectomy: Complete removal of the uterus is the only definitive cure and is often recommended for women with severe symptoms who have completed their family.
Minimally Invasive & Robotic Surgery Benefits
Less blood loss
Smaller incisions and minimal scarring
Faster recovery
Less post-operative pain
Preservation of fertility (in selected cases)
Why Choose Dr. Kalpana Tiwari for Adenomyosis Care?
With over 15 years of expertise in minimally invasive gynecologic surgery, Dr. Kalpana Tiwari offers compassionate, expert care for women struggling with adenomyosis. She is known for:
Accurate diagnosis through advanced imaging
Personalized treatment plans based on symptom severity and fertility needs
Expertise in laparoscopic and robotic surgical techniques
Holistic care approach including pain management and emotional support
