Adenomyosis Treatment

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Adenomyosis is a condition where the inner lining of the uterus (endometrium) breaks through the uterine muscle wall, resulting in thicker uterine walls. This can lead to distorted blood vessels, causing heavy and painful periods, discomfort during sexual intercourse, and potential infertility. While adenomyosis is distinct from endometriosis, individuals with adenomyosis may also experience or develop endometriosis.

Adenomyosis is categorized into three grades:

  • Grade I (mild)
  • Grade II (moderate)
  • Grade III (severe)
Diagnostic Methods for Adenomyosis include:

  • Pelvic Examination
  • Imaging Techniques (Ultrasound or MRI)
  • Surgical Approaches for Adenomyosis:
Hysterectomy for Adenomyosis can be performed using either open-cut or laparoscopic methods.

Abdominal/Open-Cut Hysterectomy: In this approach, a surgical incision is made in the lower abdomen, through which the uterus is manually removed by a gynecologist. The incision is closed using self-dissolving sutures, and recovery typically takes around 5-6 weeks.

Total Laparoscopic Hysterectomy (TLH): This method involves the use of a laparoscope, a specialized catheter equipped with a camera and light. The procedure begins with the creation of 4-5 small keyhole-sized incisions in the lower abdomen.

The laparoscope provides an enhanced view of organs, enabling precise separation of the uterus and supporting structures using ultrasonic energy to minimize blood loss. The uterus is then removed through the vaginal route.

While most of the smaller incisions heal naturally, the larger one (greater than 1 cm) is sutured. A few additional sutures are made at the vaginal route. Compared to abdominal hysterectomy, recovery from TLH is shorter, typically spanning 1-2 weeks.