My gynecologist told me that adenomyosis is frequently an incidental, and clinically unsuspected. He said it should be finding in uteri removed for other reasons. Anyway, he said he diagnosed it in my case by a hysterosalpingogram. Now I am confused, is it possible. I would like you to tell me if he could diagnose me this way, and more about treatments modern medicine offers me.
I have to disappoint you and say that hysterectomy is currently considered by most the only effective treatment for symptomatic adenomyosis. In recent years there are successfully treated many patients with adenomyosis by surgically removing only specific areas of the uterus. This should be specified to special parts that containing the bulk of the disease, as carefully defined by transvaginal ultrasound. In addition, it is found as helpful to remove surgically the lining of the upper portion of the uterine cavity. This is because this is the source for regrowth of adenomyosis and this, in effect, prevents recurrence of adenomyosis. This is followed by reconstruction of the uterus, resulting in a near normal sized uterus, so this is not scary as it might sound. This results in resolution of the pain and normal to very light periods, which is definitely great result. The drawback of this surgical treatment is that woman’s pregnancy is no longer an option. Anyway, patient satisfaction has been high because this more limited operation avoids all the other drawbacks. I think your doctor will decide right way and treat you as you deserve to help you.