Globular Adenomyosis is a gynecological condition characterized by the growth of uterine lining tissue into the uterine wall.
This can result in severe pain during menstruation and is often associated with infertility and endometriosis.
Globular Adenomyosis is also commonly associated with deep endometriosis, especially in the Pouch of Douglas, and with ovarian endometriosis, also known as a chocolate cyst.
Symptoms of Globular Adenomyosis
Globular Adenomyosis commonly affects women under the age of 35, although it can also occur in women in the late reproductive age group.
The disease is known for causing severe and progressive dysmenorrhoea, making menstruation extremely painful. It is rare to find cases of painless Globular Adenomyosis.
Diagnosis of Globular Adenomyosis
The diagnosis of Globular Adenomyosis is primarily based on imaging studies
Doctors typically employ ultrasound, a non-invasive and readily accessible imaging tool, to identify the presence of the disease.
Ultrasound is considered the best method for diagnosing Globular Adenomyosis. It is very crucial that the procedure should be performed by a specialized unit familiar with the technique and accurate disease mapping.
Dr. Jay Mehta is a fertility specialist as well as one of the Best Adenomyosis doctors in Mumbai with a decade of experience in his expertise.
Treatment of Globular Adenomyosis
The treatment approach for Globular Adenomyosis is typically determined by the severity of the patient’s pain.
Medications such as painkillers, Dinogest, and Leupride injections are commonly prescribed, but they only provide temporary relief by stopping periods and reducing associated pain.
Dr. Jay Mehta and his team use a special protocol involving a combination of Letrozole plus Regestrone, which can be effective in women whose total uterine size is less than 10cm.
This protocol can postpone surgery by 2-4 months. However, most patients eventually require surgical intervention, particularly those experiencing severe pain or those with Globular Adenomyosis larger than 10cm.
Patients seeking adenomyosis treatment in Mumbai for Globular Adenomyosis should choose a doctor who specializes in fertility and 3D laparoscopic surgery for endometriosis and adenomyosis.
It’s crucial not to underestimate the impact of selecting the right surgeon for adenomyosis treatment. The difference it can make is truly remarkable.
Dr. Jay Mehta is highly skilled & experienced fertility specialist & one of the best adenomyosis treatment doctors in Mumbai.
Also Dr Jay Mehta, Director of Shree IVF & Endometriosis Clinic, as well as the Director of Uterine Transplant in Global Hospitals, Mumbai. Is widely regarded as the best Laparoscopic Gynae Surgeon of India for Endometriosis and Adenomyosis.
Post-Surgery Care & Recurrence
After surgery, some patients (around 30%) may need to take continuous oral contraceptive pills for 3-6 months to prevent recurrence, especially if there is a peritoneal component of endometriosis associated with Globular Adenomyosis or if there is ovarian endometriosis
Despite the best surgical efforts, complete removal of Adenomyosis is impossible due to its location in the uterine muscle. However, with specialized techniques like flap reconstruction, the recurrence rates can be reduced significantly.
Dr. Jay Mehta and his team have consistently reported recurrence rates of less than 2%, which is way lower compared to the typical recurrence rate of 30% when the surgery is done by less experienced surgeons.
Fertility & Globular Adenomyosis
Globular Adenomyosis can cause infertility and is often associated with endometriosis. However, when performed by an expert, surgery can enhance fertility.
Post-surgery, patients with normal Fallopian tubes can potentially conceive naturally.
It’s crucial that the surgeon ensures optimal reduction of Adenomyosis while keeping the tubes intact, a task that requires specialist skills.
Dr. Jay Mehta is an experienced fertility specialist as well as he specializes in all adenomyosis treatment in Mumbai.
Pregnancy after Surgery :
Pregnancy after surgery for Globular Adenomyosis is safe. A well-done surgery allows for excellent healing of the uterus, enabling patients to carry a pregnancy to full term under supervision
In conclusion, Globular Adenomyosis is a complex condition that requires specialized care. Patients should choose a doctor who specializes in fertility and 3D laparoscopic surgery for endometriosis and adenomyosis treatment in Mumbai, to ensure comprehensive care.
Dr. Jay Mehta
MBBS, DNB – Obstetrics & Gynecology
IVF & Endometriosis Specialist, Laparoscopic Surgeon (Obs & Gyn)
Dr. Jay Mehta is a renowned IVF specialist and fertility preserving surgeon in Mumbai, India. He is the Scientific Director of Shree IVF and Endometriosis Clinic, as well as the director of Uterine Transplant, Advanced Endometriosis and Gynac Cancer at Global Hospitals, Mumbai.
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.
Adenomyosis involves the invasion of endometrial tissue into the uterine wall, while endometriosis is the presence of endometrial tissue outside the uterus.
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