Focal Adenomyosis

Is focal Adenomyosis common at a young age?

This is a known disease of the early reproductive age group. The highest occurrence is in women less than age 35 years.

Can focal Adenomyosis be painless?

It’s rare to have a focal Adenomyosis which is painless.

Can I have a recurrence of Focal Adenomyosis?

A disease like Adenomyosis, can never be removed completely even by the Best surgical team as this is a disease in the Uterine Muscle and the muscle cannot be removed completely. Dr Jay Mehta uses a specialized technique of doing this procedure with Flap Reconstruction, his video on YouTube for the same is very popular.
This technique allows us to maintain an excellent postoperative outcome.
Dr Jay Mehta and team have consistently reported recurrence rates of less than 2%, which is far less as compared to the routine recurrence of 30%, when the surgery is performed by lesser experienced surgeons

Are there any medicines to be taken to prevent recurrence of Focal Adenomyosis?

Dr Jay Mehta and his team usually take this decision based on the nature of surgery. 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.

Can one conceive naturally after surgery for Focal Adenomyosis?

When surgery is performed by an expert, this is a Fertility enhancing Surgery and plays a role in ensuring that patients who have normal Fallopian tubes, can conceive naturally. The difficult aspect of the surgery is to ensure optimal reduction of Adenomyosis keeping the tubes intact.

This requires expertise of surgeons like Dr Jay Mehta who are highly trained and dedicated in the treatment of Adenomyosis. Evaluation of the husband is also done for Semen Parameters prior to surgery should the couple be interested in trying naturally post surgery for Focal Adenomyosis.

Is it safe to have pregnancy after surgery of Focal Adenomyosis?

Yes. A well done surgery allows for excellent healing of the uterus. Within 3 months post surgery. Patients can then carry on a safe pregnancy under supervision. Patients usually carry this pregnancy till beyond 37-38 weeks. Dr Jay Mehta and his team deliver more than 30-50 patients a year who have become pregnant after surgery for Adenomyosis and have undergone a uterine flap reconstruction.