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Adenomyosis

Understanding Adenomyosis

Adenomyosis is a gynecological condition where the tissue that normally lines the uterus (the endometrium) grows into the muscular wall of the uterus (the myometrium). This can lead to an enlarged uterus, painful menstrual cramps, and heavy periods. At Phular IVF Hospital, Muzaffarpur, our fertility experts specialize in diagnosing and managing adenomyosis using advanced, fertility-preserving treatment options.

What is Adenomyosis?

In adenomyosis, endometrial tissue grows within the uterine muscle, thickening the uterine wall and causing pain and abnormal bleeding. The condition often occurs in women between the ages of 35 and 50 and may coexist with endometriosis or uterine fibroids.

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Causes and Risk Factors

  • Hormonal imbalance (excess estrogen levels)
  • Uterine surgeries such as C-sections or fibroid removal
  • Genetic predisposition or family history of uterine disorders
  • Childbirth: Multiple pregnancies increase risk
  • Inflammation of the uterus after delivery

Common Symptoms of Adenomyosis

  • Severe menstrual cramps and pelvic pain
  • Heavy or prolonged menstrual bleeding
  • Enlarged or tender uterus
  • Pain during intercourse (dyspareunia)
  • Spotting or bleeding between periods
  • Difficulty conceiving or recurrent miscarriages

How Adenomyosis Affects Fertility

Adenomyosis can make it difficult for an embryo to implant properly due to changes in the uterine lining and muscle structure. It may also interfere with blood flow to the uterine cavity, reducing the chances of successful pregnancy. However, with modern fertility treatments like IVF, many women with adenomyosis can still achieve a healthy pregnancy.

Diagnosis of Adenomyosis at Phular IVF

  • Transvaginal Ultrasound: Helps detect thickened uterine walls or cystic areas.
  • MRI (Magnetic Resonance Imaging): Provides a detailed view of uterine structure.
  • Pelvic Examination: May reveal an enlarged and tender uterus.
  • Hysteroscopy: Allows visualization of uterine cavity and lining.

Treatment Options for Adenomyosis

  • Medication: Hormonal therapy to control bleeding and reduce pain (oral contraceptives, progesterone, GnRH agonists).
  • Non-surgical Pain Management: Anti-inflammatory medicines for symptom relief.
  • Uterine Artery Embolization (UAE): Minimally invasive procedure to reduce adenomyotic tissue.
  • Laparoscopic Surgery: Removes localized adenomyotic tissue while preserving the uterus.
  • IVF Treatment: For women facing infertility due to adenomyosis or after conservative surgery.

Fertility Care at Phular IVF Hospital

At Phular IVF Hospital, we take a compassionate and personalized approach to managing adenomyosis. Our team uses the latest diagnostic imaging and minimally invasive surgical techniques to relieve pain and preserve fertility. For women trying to conceive, IVF (In-Vitro Fertilization) offers the best success rates while minimizing the risk of recurrence.

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