Women's Clinic Singapore: How do they Diagnose and Treat Adenomyosis?

Do you suspect that you could be struggling with adenomyosis? Book an appointment with a reputable women's clinic in Singapore now for an assessment so you know exactly what you're dealing with. Find the details of a good women's clinic that can help with adenomyosis in Singapore on this page: https://endofibroid.com.sg/.

Adenomyosis is a condition which causes the lining of the womb to embed into the myometrium or muscular wall, causing the womb to enlarge. It is itself benign but leaving it untreated can greatly impact your quality of life. What's more, it may result in miscarriages and infertility among other complications.

So, Is Adenomyosis a Serious Problem?

Adenomyosis

It is estimated that about 1 in 3 people who have adenomyosis do not even experience the signs or symptoms of the condition. In part, this best explains why some cases of adenomyosis go undiagnosed for even 10 years.

Now, if you've been experiencing symptoms that are suggestive of adenomyosis like abnormal menstruation, enlarged uterus, painful menstrual cramps, pelvic pain etc, you may be wondering; is adenomyosis a serious problem? Or, can a woman with adenomyosis still get pregnant? Here's the answer;

Adenomyosis in itself isn't life-threatening. However, it can pose significant challenges like heavy and prolonged menstrual bleeding, along with painful intercourse etc. And, pregnancy is possible with adenomyosis. However, it comes with higher risks for both the mother and the baby.

So, while it isn't categorized as a severe health threat, its impact on well-being should not be underestimated. This condition cannot only impact your quality of life but also cause discomfort and affect your daily activities.

And for some, this condition can lead to emotional strain due to its chronic nature. With that in mind, it helps to seek medical advice to manage symptoms and explore treatment options if you're dealing with adenomyosis.

What is the best Treatment for Adenomyosis?

Treatment for adenomyosis may only be recommended if the specialists at your women's clinic in Singapore are convinced that it is adenomyosis causing the symptoms you've been experiencing. Usually, the specialists rely on not just symptoms but also tests.

So, if it is suspected that you're dealing with adenomyosis, your women's health specialist may recommend tests like a pelvic exam, a transvaginal ultrasound or MRI scans to diagnose adenomyosis. To rule out any serious condition, the providers may recommend a biopsy which involves the collection of tissue samples for detailed analysis.

Pelvic exams involve a physical examination of the pelvic region where the providers pay attention to any changes in the size, tenderness, or texture of the uterus. For transvaginal ultrasound, the women's health specialists use sound waves to create detailed images of the pelvic organs to reveal signs of adenomyosis like thickening of the uterine wall.

The MRI scans give a comprehensive view of the uterus. They highlight any areas of thickening or enlargement to help with the diagnosis.

Now to answer the question; what is the best treatment for adenomyosis, hysterectomy is the most effective way to completely resolve adenomyosis. Hysterectomy is a surgical procedure for the removal of the uterus.

It is considered the best treatment to completely resolve adenomyosis because unlike fibroids, which can often be excised, adenomyosis involves invasive tissue projections within the uterine wall. If a hysterectomy is approved, the uterus, and sometimes the cervix may be removed.

However, the decision to remove the uterus and maybe the cervix also depends on the patient's preference and the surgeon's recommendation. Importantly, the ovaries and fallopian tubes can be left intact to preserve hormonal function.

If you consent to hysterectomy, it can be done either abdominally, laparoscopically or vaginally. Abdominally, it involves making large abdominal incisions to allow enough space for the procedure.

In a laparoscopic procedure, the surgeon at your women's clinic in Singapore will only make small incisions in the abdominal section. They will then use a laparoscope fitted with a camera for visualization.

For the vaginal approach, just as it sounds, the uterus is removed via the vaginal canal. This approach may however not be viable if the uterus has significantly enlarged or the vagina is narrow. Other than through surgery, here are a few other treatment options that may be recommended for adenomyosis;

1. Pain Medications (NSAIDs): The specialists at your women's clinic in Singapore may recommend or prescribe Nonsteroidal anti-inflammatory drugs like ibuprofen (Advil®, Motrin®) or naproxen (Aleve®). These medications can provide some relief from the cramping that comes with with adenomyosis. In particular, they work by reducing inflammation and easing pain.

2. Hormonal Medications: Certain hormonal treatments are effective in managing adenomyosis symptoms. Key among these treatments include;

  • Birth Control Pills: Birth control pills regulate the menstrual cycle. They can also help in the management of adenomyosis by reducing the heavy bleeding that comes with the condition.
  • Depo-Provera® Injection: This is a hormonal injection for suppressing menstruation. It may be given to provide some relief from excessive bleeding.
  • Hormonal Intrauterine Devices (IUDs) such as Mirena®: These release hormones directly into the uterus. Thanks to their action, they can contribute to lighter periods and reduced pain.

3. Nonhormonal Medication (Tranexamic Acid): This medication helps control excessive vaginal bleeding. Tranexamic acid works by preventing blood clots from breaking down too quickly. This way, it can help the amount of bleeding you may experience with adenomyosis.

4. Adenomyomectomy: Adenomyomectomy is usually reserved for cases where symptoms are severe. It may also be suggested if other treatments haven't provided adequate relief. It is a surgery that involves the removal of adenomyosis from the uterine muscle. This procedure is similar to a Myomectomy, which is performed to remove uterine fibroids. It's a surgical intervention that aims to preserve the uterus while alleviating adenomyosis-related symptoms.

Your women's clinic in Singapore may have you involved in the selection of the best treatment for adenomyosis by explaining how each treatment works, the risks vs. benefits and why they feel that it may be the best option for you.

Each treatment option has its own benefits and considerations. So, be sure to discuss all the options with your doctor to settle on the best one for you.

Closing Thoughts

The major symptoms that come with adenomyosis usually resolve after menopause. So, if you're dealing with mild symptoms, you may choose to have them managed non-surgically until you enter menopause.

For severe symptoms though, a hysterectomy may be recommended. Schedule an appointment at a reputable women's clinic in Singapore to have a chat with a specialist on the best way forward depending on your condition. To schedule an appointment, call or visit Endofibroid at;

Endofibroid | Centre For Endometriosis And Fibroids - Women's Health Screening | HPV Vaccination Singapore

38 Irrawaddy Road

#05-49 Mount Elizabeth Novena

Singapore 329563

https://endofibroid.com.sg/contact/

(65) 8048 7994

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