Adenomyosis can be difficult to detect. It’s a complex GYN condition and symptoms are often debilitating. Pain can be severe and menstrual bleeding is heavy for some women. It is however one of the conditions that can be difficult to diagnose as it is not well understood by many physicians.
An MRI can often detect adenomyosis. An ultrasound can also be used, but it is less sensitive than an MRI. If the adenomyosis is small and diffuse, it may not appear on any imaging, and can only be diagnosed during surgery. As this is a disease of the uterus, the only definitive cure is hysterectomy.
Women often suffer through the pain thinking it’s normal, which creates barriers to treatment. It’s important to speak with a specialist about these symptoms as they can be relieved.
SYMPTOMS & TREATMENT
Heavy menstrual bleeding from adenomyosis is not only disruptive, it is dangerous as it can cause anemia. The dangers of anemia include life-threatening complications such as congestive heart failure, arrhythmia, and/or heart attack. You can learn more about the risks here.
Adenomyosis is contained within the uterus and the only definitive treatment is hysterectomy. Women who want to preserve fertility can temporarily manage adenomyosis symptoms with medication. Most of the time however these are not very effective, especially when the adenomyosis is extensive.
Learn more in this Q&A with Dr. Natalya Danilyants: Adenomoyosis Pain: What Women Need To Know.
THE BEST HYSTERECTOMY OPTION
Minimally invasive hysterectomy, as definitive treatment of adenomyosis, relives symptoms with minimal scarring and fast recovery. CIGC surgeons Rupen Baxi MD, Natalya Danilyants MD and Paul MacKoul MD perform hysterectomy surgery using the DualPortGYN technique. It is a superior approach using two 5 mm midline incisions, and post-operative recovery is 1 week.
When it comes to lesser known GYN conditions like adenomyosis, women should seek a specialist for optimal care. A minimally invasive hysterectomy should be performed by a skilled laparoscopic surgeon who is fellowship trained on advanced techniques to prevent damage to the delicate structures in the pelvic cavity. Standard laparoscopic or robotic hysterectomies have a higher risk of damage to ureters, bowel and blood vessels.
SEE A SPECIALIST
To schedule an evaluation with a CIGC specialist, call 888-SURGERY or reach out online. Women travel from around the country and around the world for CIGC’s innovative procedures: learn about our travel program.
Patient stories from women who found relief after minimally invasive GYN surgery at CIGC are available on our website here and on doctor review sites: Dr. Rupen Baxi Reviews | Dr. Natalya Danilyants Reviews | Dr. Paul MacKoul Reviews.