Adenomyosis is a gynecological condition that affects the uterus, causing the tissue that normally lines the inside of the uterus (the endometrium) to grow into the muscular walls of the uterus. This can lead to painful and heavy periods, as well as a range of other symptoms that can significantly affect a woman’s quality of life. Adenomyosis is commonly seen in women in their 30s and 40s, especially those who have had children. Dr. Apoorva Pallam Reddy, a leading gynecologist and laparoscopic surgeon, offers expert care for the diagnosis, management, and treatment of adenomyosis, helping women regain control of their health and well-being.
What is Adenomyosis?
Adenomyosis occurs when endometrial tissue, which should be confined to the lining of the uterus, begins to grow into the muscular walls of the uterus. This results in the formation of areas of swollen, enlarged tissue within the uterine muscle, which can cause the uterus to become enlarged and painful. The misplaced tissue still responds to hormonal changes during the menstrual cycle, thickening, breaking down, and bleeding, leading to pain and other symptoms.
Symptoms of Adenomyosis
The symptoms of adenomyosis can vary, but the most common include:
- Heavy Menstrual Bleeding: Many women with adenomyosis experience abnormally heavy or prolonged periods, sometimes with blood clots.
- Severe Menstrual Cramps: Intense cramping and pelvic pain, which may occur before or during menstruation.
- Pelvic Pain: Chronic pelvic discomfort or a feeling of pressure in the lower abdomen, even when not menstruating.
- Pain during Intercourse (Dyspareunia): Some women experience pain during or after sexual activity due to the enlarged uterus.
- Enlarged Uterus: Adenomyosis can cause the uterus to feel firm or enlarged, which may be detected during a pelvic exam.
Causes and Risk Factors
The exact cause of adenomyosis is not well understood, but several factors may contribute to its development:
- Childbirth: Women who have had children are at a higher risk of developing adenomyosis, possibly due to trauma to the uterine lining during childbirth.
- Age: Adenomyosis is more common in women over 30, especially those who are in their 40s and have had multiple pregnancies.
- Hormonal Imbalances: Estrogen may play a role in the development of adenomyosis, as the condition tends to resolve after menopause, when estrogen levels decline.
- Prior Uterine Surgery: Previous surgeries, such as cesarean sections or uterine fibroid removals, may increase the risk.
Treatment Options for Adenomyosis
Adenomyosis can be managed through a combination of medical and surgical treatments, depending on the severity of symptoms and the woman’s reproductive goals. Dr. Apoorva Pallam Reddy offers a variety of treatment options:
- Medications: Hormonal treatments, including birth control pills, intrauterine devices (IUDs), and GnRH agonists, can help regulate menstrual bleeding and alleviate pain. Nonsteroidal anti-inflammatory drugs (NSAIDs) may also be used for pain relief.
- Uterine Artery Embolization: This minimally invasive procedure cuts off the blood supply to the adenomyotic tissue, reducing symptoms.
- Surgical Options: For women who experience severe symptoms or are not responding to other treatments, a hysterectomy (removal of the uterus) may be the most effective solution, particularly for those who do not wish to have children in the future.
- Endometrial Ablation: In some cases, endometrial ablation may be performed to destroy the lining of the uterus and reduce bleeding.
Why Choose Dr. Apoorva Pallam Reddy?
Dr. Apoorva Pallam Reddy is a compassionate and experienced gynecologist who specializes in the diagnosis and treatment of adenomyosis. With her extensive expertise in laparoscopic surgery and personalized care, she works closely with patients to create individualized treatment plans tailored to their needs. If you are suffering from the symptoms of adenomyosis, Dr. Apoorva Pallam Reddy provides effective solutions to help manage your condition and improve your quality of life. Consult Dr. Apoorva Pallam Reddy for expert care and guidance on managing adenomyosis.
