Adenomyosis Care in India – Non-Surgical & Surgical Treatments

Experiencing unexplained pelvic pain or heavy periods? Don’t wait for answers. Dr. Jay Mehta specializes in diagnosing and treating adenomyosis with precision and compassion. Book your consultation today. Call  1800-268-4000.  

At Shree IVF Clinic, Mumbai, we are dedicated to providing clear answers and effective treatment plans tailored to your needs.

This condition can lead to discomfort and severe menstrual cramps, significantly affecting a woman’s quality of life. In this guide, we will delve deeper into understanding adenomyosis, its causes, symptoms, diagnosis, types, and treatment options.

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

They both involve endometrial-like tissue, but the key difference lies in their location. In adenomyosis, this tissue grows inside the muscular wall of the uterus.

Conversely, in endometriosis, it grows outside the uterus, affecting other pelvic organs such as the ovaries and fallopian tubes.

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

• 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.

Dr. Mehta’s approach emphasizes a precise diagnosis using advanced imaging like 3D ultrasound or MRI, followed by a tailored treatment plan that addresses both conditions.

Raising awareness is crucial for improving women’s health, as proper diagnosis and specialized care can significantly reduce suffering and restore quality of life.

If you are experiencing symptoms or have been misdiagnosed, seeking a second opinion from an expert is essential for receiving the right treatment and achieving a pain-free future.

The primary symptoms of adenomyosis include painful periods, heavy or prolonged menstrual bleeding with clotting, and abdominal/pelvic pain.

Some women may also experience bloating, a feeling of pressure in the lower abdomen, and pain during intercourse. However, it’s important to note that some women with adenomyosis may not have any symptoms.

If these symptoms sound familiar, you’re not alone—and you don’t have to live with the pain. Dr. Jay Mehta has helped thousands of women find relief through expert diagnosis and personalized treatment plans.

Get your symptoms evaluated by India’s leading adenomyosis specialist.

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.

Diagnosing adenomyosis can be complex because its symptoms often overlap with other conditions like uterine fibroids. At our clinic, we use a combination of methods:

1. Medical History & Physical Exam: Understanding your symptoms and performing a pelvic exam.

2. Imaging Tests: A transvaginal ultrasound or an MRI can often reveal a thickened uterine wall, which is a key sign of adenomyosis.

3. Pathology: In some cases, a definitive diagnosis is only confirmed through a pathological examination after a hysterectomy.

Early diagnosis changes everything. The sooner you understand what’s happening in your body, the sooner we can help you reclaim your quality of life.

Dr. Jay Mehta offers expert consultations across India.

Adenomyosis can present in different patterns, which helps guide the treatment Dr. Jay Mehta will recommend.

• Diffuse Adenomyosis: This is the most common form, where the endometrial tissue is spread widely throughout the uterine muscle.

• Focal Adenomyosis (Adenomyoma): In this type, the tissue forms a distinct mass or tumor-like cluster within the uterine wall.

• Focal Adenomyosis of the Outer Myometrium (FAOM): A specific pattern affecting the outer muscle layer.

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.

The treatment options are categorized based on the patient’s wishes—whether they want to have children or have completed their families.

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 and Medical Management

Non-surgical options are effective for women with mild symptoms. At Dr. Jay Mehta’s Mumbai clinic, these methods are designed to prioritize patient comfort and outcomes.

• Painkillers: Simple painkillers can help manage mild pain. For women with a uterus that is not significantly enlarged (less than 10 cm), medical management is often the first step to relieve symptoms.

• Hormonal Therapies: Dr. Jay Mehta has developed a unique 100-day protocol at his Mumbai clinic, combining Letrozole and Regestrone. This innovative treatment has shown excellent results, reducing adenomyosis volume by 10-15%. It has been particularly effective for women trying to conceive.

• GnRH Agonists: These injections temporarily reduce the size of adenomyosis. While effective, they are typically used for short-term management (3-4 months) and are not a long-term solution.

• Microwave Ablation: This minimally invasive procedure is a groundbreaking treatment offered by Dr. Jay Mehta’s team in Mumbai. Using advanced imaging techniques like ultrasound or laparoscopy, microwave ablation precisely targets diseased tissue while preserving the uterus.

Dr. Mehta’s clinic has performed the highest number of microwave ablation procedures for adenomyosis in India, and approximately 80% of patients report remarkable results. Many women can conceive naturally within 6-8 months after the procedure.

Surgical Management

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) offers a definitive cure. 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.

Why Choose Dr. Jay Mehta in Mumbai for Adenomyosis Treatment?

Dr. Jay Mehta is a super-specialist in adenomyosis and endometriosis, offering cutting-edge treatments at his Mumbai clinic.

With a patient-first approach, he ensures every woman’s journey is carefully understood and addressed. Whether your goal is to grow your family or live pain-free, the team in Mumbai creates a personalized treatment plan to match your aspirations.

If you’re in or around Mumbai and looking for expert care for adenomyosis, Dr. Mehta’s practice is here to help you navigate your treatment options and achieve the best possible outcomes.

Confused about which treatment is right for you? You need a specialist who understands the nuances of adenomyosis—from microwave ablation to fertility-preserving surgery.

Dr. Jay Mehta has performed more adenomyosis surgeries than any other specialist in India. Let his expertise guide your treatment journey. 📞   1800-268-4000

Adenomyosis is a disease that is bound by a natural disease process. Unfortunately, there is no therapy that is naturally available to reduce and limit the intensity of endometriosis and adenomyosis.

It is important to understand that this is the disease process, which occurs predominantly due to an abnormal stimulation signal, which is derived from a naturally secreted hormone of the body, which is estrogen, and even if one consumes or modifies treatment to reduce the estrogen levels, the effects are, at their best level, pretty temporary.

As a patient, one may scroll and find a lot of information about the possible dietary changes that could be done for a patient who is suffering from adenomyosis. It’s very important to note that there is no specific diet recommendation for this disease. Avoiding coffee, red meat, and green tea are some of the possible things that are commonly mentioned across the internet, but none of them have been proven to have any role in the disease process.

The pain that typically occurs in this disease is extremely significant, and the patient usually will have to sort down to medical management or painkillers to alleviate their symptoms.

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 has a very, very severe effect as far as fertility and pregnancy are concerned. The disease itself is such that it causes a severe compromise of the anatomy of the uterus, predominantly because it causes a thickening of the posterior wall of the uterus. In such a situation, the tendency to have abortions, preterm labor, recurrent miscarriages, and recurrent IVF failures is very common.

Many of the patients who have adenomyosis need to be treated with assisted reproductive techniques, especially IVF, because the disease can also distort the EM Junction, the Endo-Myometrial Junction.

Once the EMJ is compromised, the fertility outcomes of the patient are going to be very poor, irrespective of the disease being handled by a super specialist. Though an off-label use, one can try to perform a microwave ablation under laparoscopic guidance for this disease to reduce the intensity of the adenomyosis, and well-selected patients will benefit from this

Once the patient conceives post-adenomyosis surgery, it really comes down to how well the surgery has been done for adenomyosis. A well-done surgery where the approximation of the tissue is done adequately without leaving behind any dead space in the tissue will have the best obstetrics and pregnancy outcomes for the patient.

Usually, we recommend a delivery of these patients at 37 weeks, and the mode of choice is to deliver these patients with a cesarean section.

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.

While it is common to find both conditions present during a gynecological evaluation, it is important to clarify that there is no direct biological correlation between having a uterine polyp and having adenomyosis. They are distinct disease processes that happen to occur in the same organ.

Understanding the Differences

The primary difference lies in where the abnormality is located within the uterus:

• Adenomyosis: This is a disease of the uterine musculature (the myometrium). It occurs when the lining tissue invades the deep muscular walls of the uterus.

• Uterine Polyps: These are aberrations of the endometrial lining itself. They are overgrowths of the inner surface of the uterus that protrude into the uterine cavity.

Why They Are Often Linked

Even though they are different, they “go hand in hand” in clinical settings for a few reasons:

1. Shared Symptoms: Both conditions can cause heavy menstrual bleeding and spotting between periods, which often leads a patient to seek a diagnosis for both at once.

2. Hormonal Influence: Both polyps and adenomyosis are sensitive to estrogen, meaning the same hormonal environment that encourages a polyp to grow may also aggravate adenomyosis symptoms.

3. Simultaneous Diagnosis: Because Dr. Jay Mehta and our team utilize high-resolution ultrasound, we are often able to identify both issues during a single scan.

Treatment Synergy

The good news for patients is that polyps and adenomyosis can be treated simultaneously. At Shree IVF Clinic, we can often address a uterine polyp via hysteroscopy while managing adenomyosis through medical or laparoscopic protocols in the same clinical setting. This integrated approach ensures that all factors contributing to pain or heavy bleeding are resolved at once.

• What it is: Adenomyosis occurs when endometrial tissue grows into the uterine muscle wall, leading to pain, heavy bleeding, and an enlarged uterus in some cases.

• Symptoms: Common symptoms include intense menstrual cramps, heavy periods, pelvic pain, and discomfort during intercourse. In some cases, it can also cause bloating and fatigue.

• Diagnosis: Diagnosis is made through a physical exam and imaging (ultrasound/MRI) and sometimes requires pathology post-hysterectomy.

• Link to Endometriosis: Although adenomyosis and endometriosis are different, they often occur together and share overlapping symptoms, making diagnosis challenging.

• Treatment is Personalized: Options include medications (hormonal treatments like IUDs or oral contraceptives), minimally invasive procedures like microwave ablation, uterine artery embolization, and advanced laparoscopic surgery. The treatment plan depends on the severity of symptoms, overall health, and family planning goals.

• Surgical Options: In severe cases, a hysterectomy may be recommended, especially for women who no longer wish to conceive. Minimally invasive laparoscopic surgery can also address adenomyosis while preserving fertility, if desired.

• Expertise Matters: Surgical management of adenomyosis is complex and requires specialized expertise. Surgeons like Dr. Jay Mehta focus on preserving fertility while achieving the best outcomes.

• Impact on Fertility: Adenomyosis can impact fertility by interfering with implantation and increasing the risk of miscarriage, but effective treatment can significantly improve the chances of conception and a healthy pregnancy.

• Lifestyle and Support: Managing adenomyosis often involves lifestyle changes, such as maintaining a healthy weight, stress management, and dietary adjustments to reduce inflammation.

• Long-term Management: While treatment can relieve symptoms, adenomyosis is a chronic condition, and ongoing monitoring is essential to ensure the best quality of life.