GYNAECOLOGY · CONDITION GUIDE
Adenomyosis
A condition in which the tissue lining the uterus grows into the uterine muscle wall, causing the uterus to enlarge and leading to heavy, painful periods and chronic pelvic pain.
ABOUT THIS CONDITION
What is Adenomyosis?
Adenomyosis occurs when the endometrial tissue — which normally lines the uterine cavity — grows into the muscular wall of the uterus (myometrium). This causes the uterus to enlarge and become boggy. With each menstrual cycle, the displaced tissue thickens and bleeds within the uterine muscle, causing significant pain and heavy periods. It can coexist with endometriosis and fibroids. While medical management helps control symptoms, surgery offers definitive relief in severe or refractory cases. Dr. Ashwani Narla provides expert adenomyosis care at Lux Hospitals, Hyderabad.
SIGNS TO WATCH
Common Symptoms
Symptoms that need attention
WHY IT HAPPENS
Causes & Risk Factors
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Direct invasion of endometrial tissue into the myometrium during uterine surgery
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Disruption of the uterine lining boundary during childbirth or caesarean section
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Oestrogen dominance promoting endometrial cell penetration into muscle
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Chronic uterine inflammation facilitating tissue migration
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Foetal development abnormalities depositing endometrial tissue in the muscle wall
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Genetic predisposition linked to family history of adenomyosis
CLINICAL DETAILS
KeyFacts
Endometrial tissue within the uterine muscle causing pain and bleeding
Hysterectomy, endometrial ablation, or uterine artery embolisation
MRI is the most accurate imaging tool; ultrasound provides initial assessment
Hysterectomy is the only permanent cure for adenomyosis
Laparoscopic hysterectomy allows return to routine in 4–6 weeks
Available at Lux Hospitals, Hitech City, Hyderabad
HOW WE TREAT IT
Treatment Approach
Hysterectomy
Removal of the uterus — the only definitive surgical cure for adenomyosis, recommended for women with severe symptoms who have completed childbearing.
- 1
Consultation & Assessment
Dr. Ashwani Narla takes a detailed history of menstrual symptoms, performs a pelvic exam, and arranges pelvic ultrasound and MRI for accurate diagnosis.
- 2
Treatment Planning
Based on severity, fertility goals, and patient preference, a plan is created — ranging from hormonal management to surgery for symptomatic relief.
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Surgical Procedure
Hysterectomy is performed for definitive cure. Endometrial ablation or UAE may be offered to selected patients who wish to avoid hysterectomy.
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Follow-up
Recovery monitoring ensures complete symptom resolution and uterine healing where applicable.
AVAILABLE TREATMENTS
TreatmentOptions
Hysterectomy
Removal of the uterus — the only definitive surgical cure for adenomyosis, recommended for women with severe symptoms who have completed childbearing.
Endometrial Ablation
Destruction of the uterine lining to reduce or eliminate heavy bleeding — suitable for selected cases where fertility preservation is not required.
Uterine Artery Embolisation (UAE)
A minimally invasive procedure to block blood flow to the uterus, reducing adenomyosis-related bleeding and pain in selected patients.
COMMON QUESTIONS
Frequently Asked Questions
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