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Writer's pictureSabapathy J

Understanding Adenomyosis: Symptoms, Causes, and Modern Treatments


pauls hospital

Expert Care at Paul’s Hospital for Your Gynaecological Health

Adenomyosis is a condition that often goes unrecognised, yet it can profoundly affect a woman’s daily life and reproductive health. At Paul’s Hospital, we understand the complexities of this condition and offer cutting-edge diagnostic and treatment solutions to help women regain control and improve their quality of life.


What is Adenomyosis?

Adenomyosis occurs when the tissue that normally lines the uterus (endometrium) grows into the muscular wall (myometrium). During your menstrual cycle, this tissue behaves like the normal lining—it thickens and breaks down. However, because it’s trapped within the uterine muscle, it causes pain, heavy bleeding, and inflammation.

Though adenomyosis is benign, its symptoms can be debilitating without the right care.


Who is at Risk?

Adenomyosis typically affects women between the ages of 30 and 50, especially those who have had children. Common risk factors include:

  • Age: Most prevalent in women aged 35-50.

  • Childbirth History: Higher risk among women with multiple pregnancies.

  • Uterine Surgery: Procedures like C-sections or fibroid removal can contribute.

  • Hormonal Factors: Oestrogen dominance may play a key role.


Recognizing the Symptoms

Symptoms can vary, but knowing what to watch for is key to early intervention:

  • Heavy or prolonged periods: Excessive bleeding (menorrhagia) is a primary sign.

  • Severe menstrual cramps: Pain (dysmenorrhoea) that worsens over time.

  • Pelvic pain or pressure: Chronic discomfort, especially during menstruation.

  • Enlarged uterus: This may cause bloating or a sense of fullness.

  • Pain during intercourse (dyspareunia).

  • Infertility issues: While less common, adenomyosis can affect fertility.


Why Early Diagnosis Matters

Early and accurate diagnosis can transform the way adenomyosis is managed. At Paul’s Hospital, our expert gynaecologists use a combination of advanced techniques to diagnose adenomyosis effectively:

  • Comprehensive medical history and examination

  • Pelvic ultrasound: Helps detect signs like uterine thickening.

  • MRI scans: Provides a detailed view of the uterine structure.

  • Endometrial biopsy: Rules out other conditions like endometrial cancer.


Advanced Treatment Options at Paul’s Hospital

Our goal is to offer personalised, effective treatments based on your unique needs:

1. Medications:

  • Pain relief: NSAIDs like ibuprofen for pain management.

  • Hormonal therapy:

    • Oral contraceptives or hormonal IUDs regulate bleeding.

    • GnRH agonists temporarily suppress symptoms and shrink tissue.

2. Surgical Solutions:

  • Adenomyomectomy surgery: Removes adenomyotic tissue while preserving fertility.

  • Hysterectomy: A definitive solution for severe cases; recommended if fertility is no longer a concern.

At Paul’s Hospital, our state-of-the-art surgical facilities and highly skilled team ensure safe and effective outcomes.


Managing Adenomyosis Through Lifestyle

Complement medical care with these supportive strategies:

  • Diet: Anti-inflammatory foods like leafy greens, fish, and berries help reduce symptoms.

  • Exercise: Regular, moderate activity can improve circulation and alleviate pain.

  • Stress management: Techniques like yoga and meditation reduce cortisol, which may worsen symptoms.

  • Heat therapy: A heating pad can provide immediate relief from cramps.


Adenomyosis and Fertility: Hope Through Modern Care

At Paul’s Hospital, we understand the emotional and physical challenges adenomyosis poses for women trying to conceive. Our fertility specialists provide tailored solutions, including:

  • Fertility treatments: IVF and pre-treatment strategies to improve success rates.

  • Advanced diagnostics: Early interventions that support healthier outcomes.


Why Choose Paul’s Hospital?

Our team at Paul’s Hospital is dedicated to advancing women’s health through compassionate, expert care. From diagnosis to treatment, we lead the way in managing adenomyosis with the latest technologies and a patient-first approach.

Your journey to better health starts here.

If you’re experiencing symptoms of adenomyosis or have concerns about your reproductive health, consult the specialists at Paul’s Hospital. Early diagnosis and personalised care can make all the difference.

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