Adenomyosis
Dr. Ria Katwala Solanki is a gynaecologist and gynaecological oncosurgeon consulting in Andheri East and Vile Parle West, Mumbai, who diagnoses and treats adenomyosis — a condition where the inner lining of the uterus (endometrium) grows into the muscle wall of the uterus. This makes the uterus bulky and can cause heavy, painful periods.
Common Symptoms :
Heavy or prolonged menstrual bleeding
Severe period cramps (dysmenorrhea)
Pelvic pain or pressure
Difficulty conceiving
Treatment Options
Depends on whether the patient wants to get pregnant in the future
Medications :
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Pain relief and hormonal therapy to control bleeding.
Adenomyomectomy ( Laparoscopy / robotic) :
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For women with huge uteri wanting fertility, the diseased tissue of the uterus is removed and uterus and reconstructed. Patient can try for fertility 4-5 months after the surgery.
Hysterectomy :
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Definitive treatment for adenomyosis.
Frequently Asked Questions
Q: Can adenomyosis be completely cured?
Medication can manage symptoms, but hysterectomy is the only definitive cure — the right approach depends on whether you still want to have children.
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Q: Will it affect my chances of getting pregnant?
It can make conceiving harder in some cases, but fertility-preserving options like adenomyomectomy can help improve the chances for women who want to have children.
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Q: Is surgery always necessary?
No. Pain relief and hormonal therapy are tried first; surgery is considered when symptoms are severe or medication isn't enough.
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Q: Is robotic surgery an option for adenomyosis?
Yes. Adenomyomectomy can be performed via laparoscopy or robotic surgery, both minimally invasive, which is especially helpful when fertility needs to be preserved.
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Q: How is adenomyosis diagnosed?
An ultrasound or MRI is usually enough to diagnose adenomyosis and assess how extensive it is.
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Q: Can adenomyosis come back after treatment?
Symptoms can recur after conservative treatments like medication or adenomyomectomy, which is why hysterectomy is considered the definitive option when fertility is no longer a concern.
