What is Adenomyosis Uterus?

Adenomyosis is a condition in which the inner lining of the uterus (endometrium) grows into the muscular layer of the uterus (myometrium). This leads to a bulky, tender uterus and can significantly affect a woman’s quality of life.

Common Symptoms

Adenomyosis may cause:

• Lower abdominal or pelvic pain

• Heavy and prolonged menstrual bleeding

• Dysmenorrhoea (painful periods)

• Infertility

• A feeling of bloating or fullness in the lower abdomen

• Dyspareunia (pain during sexual intercourse) in some patients
  

Risk Factors

Adenomyosis is more commonly seen in:

• Women aged 30–45 years

• Patients with a history of myomectomy

• Patients with repeated dilatation and curettage (D & C) procedures
  

Treatment Options

Treatment depends on symptoms, age, and fertility plans:

1. NSAIDs for pain relief in mild cases

2. Hormonal therapy in selected patients

3. Hysterectomy in severe, completed-family cases

4. For women who wish to preserve the uterus or plan pregnancy, laparoscopic removal of localized adenomyoma (adenomyomectomy) is a valuable option
   

Sharing a short video of laparoscopic adenomyomectomy, demonstrating uterus-preserving surgical management of adenomyosis.