Effective treatment for Adenomyosis is now available in South India

HYDERABAD: April is Adenomyosis awareness month globally to raise awareness about the condition among the general public, healthcare professionals, and policy-makers.

For the first time in South India an effective and noninvasive treatment for Adenomyosis is introduced by Hyderabad based Dr Vimee Bindra – Fertility Enhancing Surgery Specialist; Endometriosis Excision Surgery Specialist; founder of Endometriosis Foundation of India.

Adenomyosis is a condition where endometrium like tissue starts growing in the muscle layer of uterus and causes uterine enlargement. The prevalence ranges from 8 – 27 percent in the reproductive age group.

“There are more than 355 million menstruating women in India and among them more than 60 per cent may need medical assistance for their gynae-related problems. Adenomyosis is one such disease. Patients with adenomyosis who are pregnant have a greater risk of miscarriage, but early detection can help. Adenomyosis can affect a patient’s ability to get pregnant, in addition to causing symptoms that interrupt everyday life. Women with adenomyosis may be infertile, and those who have adenomyosis and are pregnant may have a higher risk of miscarriage “says Dr Vimee Bindra

The cause of adenomyosis is not well known. It may or may not be associated with endometriosis. For the first time in South India an effective treatment for Adenomyosis is introduced by Dr Vimee Bindra

60 percent of the 355 million menstruating women need medical assistance

• Patients with Adenomyosis are at greater risk of miscarriage
• Adenomyosis causes heavy bleeding, painful periods and painful intercourse
• Adenomyosis can be worse than Endometriosis

Symptoms

• Painful periods
• Heavy bleeding
• Bloating
• Infertility
• Chronic pelvic pain
• The pelvic pain can be so severe that patient describe it like a knife like pain

As it’s a progressive disease symptoms keep on increasing with passing years.

Causes

Exact cause of Adenomyosis is not known but several theories try to explain its origin. Developmental origins, invasive tissue growth, uterine inflammation during childbirth and stem cell origins.

Complications

• Prolonged and heavy bleeding might lead to chronic anemia and in turn may cause fatigue and tiredness and lethargy.
• Chronic pelvic pain and severe pain during periods may hamper your quality of life

Life style and home remedies

• To ease pelvic pain and cramping related to adenomyosis you can try
• Hot water bag
• Over the counter anti-inflammatory agents
• Warm bath

For some patients pelvic exercises and physiotherapy helps to some extent

Non-invasive option

Some latest non-invasive treatment options which have emerged are uterine artery embolization (UAE), image-guided ablation techniques, including high-intensity focused ultrasound ablation (HIFU), radiofrequency ablation (RFA) and microwave ablation (MWA).

Laparoscopic and Ultrasound guided microwave Ablation (LUMWA)

is a feasible minimally invasive technique for the treatment of adenomyosis. It has several advantages and no severe side effects. The uterine volume, adenomyoma size decrease significantly in the follow-up period. Therefore, ultrasound- and laparoscopy-guided LUMWA is an effective technique and could be an option for the treatment of adenomyosis.

Dr Vimee Bindra added some of the key benefits of noninvasive treatment is

• Done in a minimal invasive manner
• No future complications
• Adenomyosis can be cured with one surgery
• Women can start normal work immediately

Dr Vimee Bindra is the first one to introduce this technique for the first time in South India. It’s a uterine preserving minimally invasive technique for adenomyosis. She can be reached at 91000 14623, COPE Women’s Clinic - Advanced Centre for PCOS , Endometriosis and Cosmetic Gynaecology Hyderabad