Adenomyosis Care in India – Non-Surgical & Surgical Treatments

Adenomyosis (also called endometriosis interna) is a condition where the tissue that normally lines the uterus (endometrium) grows into the muscular wall of the uterus (myometrium).

This invasion causes the uterine walls to thicken and become “globular,” leading to intense pelvic pain and heavy menstrual cycles.

While often confused with endometriosis, the two are distinct:

• Adenomyosis: Tissue grows inside the uterine muscle.

• Endometriosis: Tissue grows outside the uterus on pelvic organs.

While often confused, adenomyosis and endometriosis are two distinct conditions.

While they are “cousins.” Adenomyosis is not the same as endometriosis. In endometriosis, the lining grows outside the uterus (on the ovaries or bowels). In adenomyosis, it stays within the uterine wall.

However, these two conditions frequently coexist. Research highlights a strong link:

• ScienceDirect indicates that approximately 70% of women with focal adenomyosis also have endometriosis.
• Nearly all women with a specific type, Focal Adenomyosis of Outer Myometrium (FOAM), also have Deep Infiltrating Endometriosis (DIE).

Both conditions can lead to severe period pain (dysmenorrhea), heavy bleeding, chronic pelvic pain, and infertility.

Unfortunately, misdiagnosis is common in India due to a lack of specialized expertise, often leading to incorrect or poorly performed surgeries.

As a referral specialist, Dr. Jay Mehta frequently consults with patients who have undergone unsuccessful operations, which can compromise future treatment outcomes.

Many women in India are told that “heavy periods are normal,” but this is a dangerous myth.

If you are experiencing the following, you may be suffering from adenomyosis:

• Intense Menstrual Cramps (Dysmenorrhea): Pain that doesn’t resolve with standard over-the-counter tablets.

• Heavy Menstrual Bleeding: Passing large clots or needing to change pads every 1–2 hours.

• Chronic Pelvic Pain: A dull, heavy, or “dragging” sensation in the pelvis throughout the month.

• “Endo-Belly” (Bloating): Visible abdominal distension that makes you feel “6 months pregnant” during your cycle.

• Dyspareunia: Pain during or after sexual intercourse.

• Secondary Symptoms: Leg pain, backaches, and extreme fatigue due to chronic blood loss (anemia).

Expert Guidance:

If your period pain is forcing you to miss work or school, it is time to seek a specialized evaluation. Consult an Adenomyosis specialist in India to understand your options

The exact cause of adenomyosis remains unknown. However, it is believed to be estrogen-dependent or hormone-sensitive.

Factors like childbirth and uterine surgeries may disrupt the boundary of cells in the uterus, allowing the invasion of endometrial cells into the myometrium (muscular wall of the uterus).

Suppose you’re experiencing symptoms such as heavy menstrual bleeding, severe menstrual cramps that don’t improve with over-the-counter medication, or pain during intercourse. In such cases, it’s essential to consult one of the top gynecologists for Adenomyosis treatment in Mumbai, India.

Early diagnosis can help manage the symptoms effectively and improve your quality of life.

Dr. Jay Mehta, a renowned gynecologist in Mumbai, offers expert consultations for adenomyosis treatment across India. To book a consultation, call 1800-268-4000

We help a couple with endometriosis and adenomyosis in their journey to parenthood.

One of the biggest challenges in India is the misdiagnosis of adenomyosis as “simple fibroids.” Because the symptoms are similar, an expert eye is required to distinguish the two.

1. High-Resolution 3D Transvaginal Ultrasound (TVUS): This is the first step. A specialist looks for “asymmetrical thickening” of the uterine walls and small cystic spaces within the muscle.

2. Pelvic MRI: This is the most accurate non-surgical way to diagnose the condition. It helps to identify the “junctional zone” thickness, which is a key marker for adenomyosis.

3. Endometriosis Mapping: Since the two conditions often coexist, a comprehensive endometriosis mapping scan is performed to see if the disease has spread to the bladder, bowel, or pelvic nerves.

Adenomyosis can present in different patterns, which helps guide the treatment that the doctor will recommend.

• Diffuse Adenomyosis: The most common type, where the disease is scattered throughout the entire muscular wall, making the uterus large and “boggy.”

• Focal Adenomyosis (Adenomyoma): The disease is concentrated in one specific spot, forming a mass that looks like a tumor.

• Focal Adenomyosis of the Outer Myometrium (FAOM): This specific pattern involves the outer layer of the uterus and is almost always associated with deep infiltrating endometriosis (DIE).

Your treatment plan will depend on several factors, including the severity of your symptoms, your age, and whether you plan to have children.

At Dr. Jay Mehta’s Shree IVF clinic in Mumbai, every approach is tailored to the patient’s unique needs, ensuring optimal results.

Treatment is divided into two categories: whether you want to preserve your fertility or if you are seeking a permanent solution.

The treatments for adenomyosis include hormonal contraceptives, medications, and surgical procedures.

Nonsurgical treatments include pain medication, hormonal therapy, microwave ablation, and the use of a levonorgestrel-releasing intrauterine device (IUD).

Surgical options include uterine artery embolization, endometrial ablation, and hysterectomy (removal of the uterus).

Non-Surgical Treatment Options for Adenomyosis

Non-surgical options are effective for women with mild symptoms. At Shree IVF Clinic, we offer several medical protocols to effectively manage symptoms.

1. The 100-Day Hormonal Protocol:

Developed by Dr. Jay Mehta, this unique protocol involves a combination of Letrozole and Regestrone.

Clinical results at our Mumbai center have shown a 10-15% reduction in uterine volume within three months. This is especially useful for women who want to shrink the disease before attempting to conceive.

2. The Mirena IUD (Levonorgestrel System):

The Mirena is a small device placed inside the uterus that releases a steady dose of progestogen. It is highly effective for:

• Reducing heavy menstrual flow by up to 90%.
• Providing significant pain relief for 3–5 years.
• Avoiding the need for daily oral medication.

3. GnRH Agonists

These are injections that temporarily reduce the size of adenomyosis (put the ovaries “to sleep”). While not a long-term cure, they are excellent for “down-regulating” the uterus before an IVF cycle or surgery.

Advanced Minimally Invasive Options: Microwave Ablation (MWA) for Adenomyosis 

Dr. Jay Mehta’s team has pioneered microwave ablation in India as a truly minimally invasive, fertility-preserving option.

• How it Works: Under ultrasound or laparoscopic guidance, a specialized needle-thin probe is inserted into the adenomyotic tissue. Microwave energy is used to “melt” the diseased tissue while leaving the healthy uterine muscle intact.

• The Benefit: There are no large incisions, and approximately 80% of patients report a massive reduction in pain and bleeding.

• Fertility: Many patients can conceive naturally within 6 to 8 months after this procedure because the uterine cavity remains undisturbed.

Interested in a non-surgical approach? Book a consultation for Microwave Ablation with our specialized team today.

Surgical Options for Adenomyosis

For more complex cases, surgery may be the most effective treatment. This is often necessary for focal adenomyosis larger than 3 cm, FAOM lesions, or diffuse adenomyosis where the uterus exceeds 10 cm.

• Laparoscopic Surgery: Dr. Jay Mehta’s team in Mumbai employs advanced laparoscopic techniques for precise and safe surgery. Using tools like ICG dye with near-infrared imaging, the clinic ensures a clear mapping of the disease to maximize the removal of affected tissue.

In fertility-preserving surgeries, some microscopic disease may remain to ensure the uterus and fertility are preserved.

• Hysterectomy: For women in Mumbai who have completed their families and are experiencing severe symptoms, a hysterectomy (removal of the uterus) is the only 100% definitive cure for adenomyosis. While it’s a major decision, it provides lasting relief when other treatments are unsuitable.

A key aspect of fertility-sparing surgery is the preservation of the endometrial-myometrial (EM) junction, which is critical for maintaining fertility.

Surgeries performed without this precision can lead to permanent infertility, which is why choosing an experienced specialist like Dr. Jay Mehta, located in Mumbai, is crucial.

Choosing the right adenomyosis specialist in India is the most critical decision in your healthcare journey.

• Unmatched Volume: Jay Mehta and his team perform over 2,500 endometriosis and adenomyosis surgeries annually, making it the highest-volume unit in the country.

• National Reach: While based in Mumbai, Dr. Mehta regularly operates and consults in Pune, Chennai, Hyderabad, Bangalore, Ahmedabad, Agra, and Delhi.

• Ethical Practice: We are known for our “Patient-First” approach, offering Low-Cost Endometriosis Surgery options to ensure no woman is left in pain due to financial constraints.

• Global Recognition: Mehta is a pioneer in microwave ablation, having published research on fertility-preserving techniques in international journals like ISGE.

According to the National Institutes of Health (NIH), adenomyosis is an estrogen-dependent disease. While a healthy diet can reduce the systemic inflammation associated with the condition, there is no scientific evidence that diet alone can cure it.

While no diet can “cure” a structural disease like adenomyosis, an anti-inflammatory diet helps manage the symptoms.

• Focus on: Leafy greens, berries, fatty fish (Omega-3), and turmeric.
• Reduce: Red meat, processed sugar, and excessive caffeine, which can spike estrogen and worsen inflammation.
• Hydration: Essential for reducing the bloating associated with “Endo-belly.”

The cost of adenomyosis surgery in India can vary significantly based on several factors, including the type of surgery required (such as laparoscopic surgery, uterine artery embolization, or hysterectomy), the choice of hospital, the technology used, the expertise of the surgeon, and the city where the treatment is performed.

Surgery costs in metropolitan cities may be higher compared to smaller cities, owing to advanced infrastructure and facilities.

To receive a clear and accurate estimate tailored to your medical needs, it is best to consult with an expert. Dr. Jay Mehta, a leading gynecologist and adenomyosis surgeon in India, provides both in-person and online consultations.

He offers comprehensive guidance on the most suitable surgical approach, expected outcomes, recovery, and associated costs, helping patients make informed decisions.

We are proud to announce the launch of our dedicated low-cost unit for endometriosis and adenomyosis surgery in India. Our mission is to ensure that expert surgical care is accessible to all patients across the country, regardless of their income.

You can register for low-cost surgery by a consultation—either in person at the Shree IVF Clinic or online by calling 1800-268-4000

Adenomyosis is a leading cause of recurrent IVF failure and recurrent miscarriages. The inflammation in the uterine wall makes it difficult for an embryo to “stick” (implant).

The Shree IVF Protocol for Adenomyosis: To ensure a successful pregnancy, we don’t just “do IVF.” We prepare the uterus first:

1. Shrinkage: Using the 100-day protocol or GnRH agonists to quiet the inflammation.
2. Microwave Ablation: In some cases, reducing the volume of the adenomyoma before transfer.
3. Frozen Embryo Transfer (FET): Allowing the body to recover from stimulation before placing the embryo in a “calm” uterus.

Living with adenomyosis can be difficult, but you don’t have to face it alone. An accurate diagnosis and a personalized treatment plan are the first steps toward reclaiming your quality of life.

Dr. Jay Mehta is a leading super-specialist in India for both adenomyosis and endometriosis, providing compassionate and expert care.

To understand your options and start your journey to recovery, book a consultation today. Call us at 1800-268-4000 to make an appointment.

No, there is no direct biological link between uterine polyps and adenomyosis.

While they are distinct conditions—one affecting the uterine lining and the other affecting the muscle—they often appear together because both are fueled by estrogen.

Understanding the difference is crucial for receiving the correct treatment for heavy bleeding and pelvic pain.

Although they share the same “home” (the uterus), these two conditions occupy very different layers of the organ.

• Adenomyosis (The Muscle Layer): This is a disease of the myometrium (uterine muscle). It occurs when the endometrial lining tissue invades and grows deep within the muscular walls of the uterus, causing it to become thick and inflamed.

• Uterine Polyps (The Surface Layer): These are growths of the endometrium (the inner lining itself). They are soft, bulb-like overgrowths that protrude from the lining into the uterine cavity, much like a small skin tag inside the womb.

Why Do These Two Conditions Often Occur Together?

It is very common for an adenomyosis specialist in India to find both issues during a single evaluation. This “hand-in-hand” relationship is usually due to three main factors:

1. Shared Hormonal Triggers: Both conditions are estrogen-sensitive. High levels of estrogen in the body can simultaneously encourage a polyp to grow on the surface while aggravating the inflammation of adenomyosis within the muscle.

2. Overlapping Symptoms: Both cause heavy menstrual bleeding and spotting between periods. When a patient seeks help for these symptoms, a thorough investigation often reveals that both conditions are contributing to the problem.

3. Advanced Diagnostic Imaging: At Shree IVF Clinic, we use high-resolution 3D ultrasound and endometriosis mapping to visualize the entire uterus. These detailed scans often detect small polyps that might be missed during a standard check-up, alongside signs of adenomyosis.

Can Both Be Treated at the Same Time?

The good news is that you do not need two separate recovery periods (polyps and adenomyosis can be treated simultaneously).

Dr. Jay Mehta and his team specialize in integrated treatment protocols to resolve all symptoms in a single clinical setting.

• Hysteroscopy for Polyps: A tiny camera is inserted through the natural opening of the cervix to safely remove polyps without any external incisions.

• Simultaneous Management for Adenomyosis: While the patient is under care, we can simultaneously address adenomyosis through medical management, the placement of a Mirena IUD, or advanced laparoscopic protocols.

This dual approach ensures that the “soil” (the uterine lining) and the “walls” (the muscle) are both treated, providing comprehensive relief from pain and heavy bleeding.

If you have been diagnosed with polyps but still experience intense cramping, you may have underlying adenomyosis. Consult a specialist for a complete uterine mapping. Call 📞 1800-268-4000

Navigating multiple gynecological diagnoses can be overwhelming.

At Shree IVF and Endometriosis Clinic, Mumbai, we prioritize a clear, evidence-based diagnosis before starting any therapy.

Whether you require a simple hysteroscopy or complex fertility-preserving surgery, our goal is to restore your quality of life with minimal downtime.