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Focal Adenomyosis

Focal Adenomyosis

What is Focal Adenomyosis?

Focal Adenomyosis is a gynaecological condition that primarily affects women under the age of 35.

It is characterized by the growth of endometrial tissue into the muscular wall of the uterus, leading to severe pain during menstruation.

Understanding Focal Adenomyosis

Focal Adenomyosis is most common in young women in their early reproductive years. The primary symptom is severe menstrual pain that progressively becomes resistant to medication.

While all medications prescribed for this condition, including painkillers, Dienogest, and Leupride injections, can provide temporary relief, they do not offer a permanent cure. These medicines work by stopping periods, thereby reducing the associated pain, but they don’t treat the underlying condition.

While it’s rare, Focal Adenomyosis can sometimes be painless. However, most patients experience significant discomfort, particularly during their menstrual cycle.

Diagnosis of Focal Adenomyosis

The gold standard for diagnosing Focal Adenomyosis is ultrasound, performed by a specialized unit with expertise in this technique and disease mapping.

It’s also common for Focal Adenomyosis to coexist with endometriosis, another condition involving abnormal growth of endometrial tissue.

For the prevention of focal adenomyosis, our team usually takes this decision based on the nature of the surgery.

In some patients, less than 30% may require 3-6 months of continuous Oral Contraceptive Pills if there is a Peritoneal component of endometriosis which is associated with Focal Adenomyosis or if there is an Ovarian Endometriosis as well.

The remaining 70% don’t require any medicines to prevent recurrence.

Fertility Implications

Focal Adenomyosis is frequently associated with infertility and endometriosis. Patients facing fertility issues due to this condition should consult a fertility specialist in Mumbai

Dr. Jay Mehta, an expert laparoscopic surgeon in India, is highly recommended for achieving excellent outcomes.

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Treatment Options for Focal Adenomyosis

The patient’s pain level primarily decides the need for surgery in Focal Adenomyosis.

Those experiencing severe pain, particularly with Focal Adenomyosis larger than 3.5-4.0 cm, often require surgery.

3D laparoscopic surgery is the treatment of choice when performed by a well-trained surgeon.

Robotic surgery, at the moment, is expensive and doesn’t seem to enhance patient outcomes while getting operated on for Adenomyosis.

When performed by an expert, surgery for Focal Adenomyosis can enhance fertility and help patients with normal fallopian tubes conceive naturally.

However, the challenge lies in ensuring the optimal reduction of Adenomyosis while keeping the tubes intact. This requires the expertise of surgeons who are highly trained.


It’s crucial not to underestimate the impact of selecting the right doctor for adenomyosis treatment in India. The difference it can make is truly remarkable.

Patients should choose a doctor who specializes in fertility and 3D Laparoscopic surgery for Endometriosis and Adenomyosis for complete care.

Dr. Jay Mehta is a highly skilled & experienced fertility specialist & one of the best adenomyosis treatment doctors in Mumbai. 

Post-Surgery Considerations & Recurrence

After surgery, some patients may need to take continuous oral contraceptive pills for 3-6 months to prevent a recurrence, especially if there’s a peritoneal component of endometriosis associated with Focal Adenomyosis or ovarian endometriosis.

However, the majority of patients (around 70%) do not require any medicines to prevent recurrence.

Recurrence of Focal Adenomyosis is possible

Focal Adenomyosis is a disease in the uterine muscle, and the muscle cannot be completely removed.


Utilizing specialized techniques such as Flap Reconstruction, at our clinic Dr. Jay Mehta has achieved recurrence rates of less than 2%, which is significantly lower than the routine rate of 30%, which is observed with less experienced surgeons.

This exemplifies the impact of skill and expertise in reducing the likelihood of recurrence in surgeries. Dr. Jay Mehta is a fertility specialist as well as one of the Best Adenomyosis doctors in Mumbai

Book Your Consultation Today With an Adenomyosis Specialist in India – Dr Jay Mehta

Pregnancy Post-Surgery

Pregnancy after surgery for Focal Adenomyosis is safe. A well-done surgery allows for excellent healing of the uterus.

Within 3 months post-surgery, patients can carry a safe pregnancy under supervision, usually carrying the pregnancy beyond 37-38 weeks.

Our team delivers more than 30-50 patients a year who have become pregnant after surgery for Adenomyosis and have undergone a uterine flap reconstruction.

In conclusion, Focal Adenomyosis is a complex condition that requires specialized care and treatment.

Patients should choose a doctor who specializes in fertility and 3D laparoscopic surgery for Endometriosis and Adenomyosis doctor in Mumbai, India ensuring complete care under one roof.

Dr. Jay Mehta, beyond his practice in Mumbai, also serves patients in Bangalore, Ahmedabad, Chennai, Hyderabad, Agra, and Delhi.

Dr. Jay Mehta Fertility and IVF Specialist In Mumbai

Dr. Jay Mehta

MBBS, DNB – Obstetrics & Gynecology
IVF & Endometriosis Specialist, Laparoscopic Surgeon (Obs & Gyn)

4.9

Verified & Most Trusted One

Dr. Jay Mehta is a renowned IVF specialist and fertility-preserving surgeon in Mumbai, India. He is the Director of Shree IVF and Endometriosis Clinic, as well as the Director of Uterine Transplant in Global Hospitals, Mumbai. He is a leading laparoscopic gynecologist in India for endometriosis and adenomyosis..

He is a well-known Fertility and IVF Specialist and also among few doctors in the country who specializes in Embryology and Andrology. He operates India’s major cities including Mumbai, Pune, Chennai, Hyderabad, Bangalore, Ahmedabad, Agra, Delhi etc.

To book an appointment, call: +91 - 9920914115 or fill out our contact form

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 Google Reviews

Ankita Katyal

I am incredibly grateful for Dr. Jay's exceptional support throughout my IVF journey. Dr Jay has been like God sent an Angel for us. From our very first meeting, it was clear that Dr. Jay was not only a highly skilled and knowledgeable professional but also someone who genuinely cared about my well-being.

From my first meeting, he was very clear transparent, and straightforward about my protocol, treatment line, and success rate. After two difficult IVF cycles that failed, I was beginning to lose hope.

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Krish A

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IVF space is competitive, but these guys don't do any Ads on Google. And still if you search, Dr Jay is ranked no.1. I was extremely impressed with that and I am happy that I took a call to travel to Mumbai from Chennai.

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Forum Shah

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This time also I came for Endometriosis treatment n within 3-4 days decided to get operated as there was no looking back as I trust him for his treatment. Thank you Dr once again for the right advice 😊

Deepak Jagadale

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Vijaya Garg

Dr. Jay Mehta is one of the best gynaecologist doctor of our India. I trust him faithfully and would like to recommend each and every one that don't waste time moving here and there to another doctorand .

I m sharing my experience I wasted my time mand oney by moving from one doctor to other and my problem was unsolved I'm thankful to Dr. Priyanka Shukla mam of trident hospital for suggesting Dr. Jay Mehta sir for my treatment . Now I'm pain-free...Thank you Dr. Jay Mehta sir... you are really my Boley baba shiv shsmbu. I m thankful to all the staff members of Shree IVF hospital

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