Adenomyosis Expertise

A Specialist Approach to Managing Adenomyosis

Living with adenomyosis can feel like a constant battle against your own body. The chronic pelvic pain, debilitatingly heavy periods, and disruptive bloating can be easily dismissed as “bad periods,” leaving you feeling unheard and without a clear path forward.

At Happiher, we recognize the profound impact adenomyosis has on your life. Our “Adenomyosis Expertise” service is not just a single treatment; it is a comprehensive, outpatient-based care program designed around you. Led by Dr. Manou Kaur, a specialist in complex gynaecological conditions, our approach moves beyond diagnosis to create a personalised, long-term management plan that aims to restore your comfort and quality of life.

Our Philosophy: A Partnership in Your Care

Often called the “sister disease” to endometriosis, adenomyosis is a complex condition where the uterine lining tissue grows into the muscular wall of the uterus. Because it is a diffuse condition, its management requires more than just a standard solution—it requires true expertise and a partnership between you and your doctor.

Our outpatient service is the starting point for this partnership. We focus on three key pillars:

1. Pinpoint Diagnosis: Using the most advanced diagnostic tools to understand the extent of your condition.
2. Personalised Treatment Planning: Exploring every available option, from medical management to advanced surgery, to find the right fit for your symptoms, lifestyle, and fertility goals.
3. Long-Term Support: Managing adenomyosis is a journey, and we are here to support you every step of the way.

The Outpatient Journey: Your Path to a Management Plan

Your care begins in a calm, outpatient setting where we can build a comprehensive picture of your health.

Step 1: The In-Depth Consultation: This is the most crucial step. We listen carefully to your story—your symptoms, your treatment history, and how this condition affects your life. This detailed understanding forms the foundation of your personalised plan.

Step 2: Advanced Diagnostic Imaging: Adenomyosis is best diagnosed with high-resolution imaging. Dr. Kaur is highly skilled in performing and interpreting transvaginal ultrasounds to map the condition. In some complex cases, an MRI may be recommended to get an even more detailed view of the uterine wall.

Step 3: Co-Creating Your Personalised Plan: Based on the diagnosis, we will discuss all your options with you. This is a collaborative decision. We will explore the pros and cons of medical therapies to manage symptoms versus surgical options for a definitive solution. Your personal preferences and family planning goals are central to this conversation.

Step 4: Ongoing Management: Our outpatient service provides continuous care, whether that involves monitoring your response to medication, performing follow-up scans, or planning for a future procedure.

Exploring Your Treatment Options

Our expertise covers the full spectrum of modern adenomyosis treatments:

• Medical Management: For many women, symptoms can be effectively managed with hormonal treatments (like the hormonal coil or contraceptive pill) to reduce bleeding, combined with non-hormonal medications for pain relief.
• Minimally Invasive Surgical Options: If medical management is not effective or suitable, Dr. Kaur will discuss surgical options. While the only definitive cure for adenomyosis is a hysterectomy, this is just one of several options. Other procedures, such as specialised robotic surgery, can be considered depending on your specific circumstances. All surgical planning is done with meticulous care.

Frequently Asked Questions (FAQ)

1. How is adenomyosis different from endometriosis?
   While they cause similar symptoms, in endometriosis, tissue similar to the uterine lining grows outside the uterus. In adenomyosis, the actual uterine lining tissue grows into the muscle of the uterine wall itself. The two conditions can often coexist.
2. Do I have to have a hysterectomy to treat adenomyosis?
   Absolutely not. A hysterectomy is the only permanent “cure,” but it is not the only treatment. Many women achieve excellent symptom control with medical and hormonal management. The decision to proceed with surgery is a significant one that is made only after exploring all other options.
3. Can I still have children if I have adenomyosis?
   Yes. While adenomyosis can sometimes be associated with fertility challenges, many women with the condition conceive successfully. Your treatment plan will be carefully tailored to align with your fertility goals.
4. How long does it take to get a diagnosis?
   With advanced ultrasound performed by an expert, a confident diagnosis can often be made during your initial outpatient visit.

Begin Your Journey to Better Management

You don’t have to navigate the complexities of adenomyosis alone. We are here to provide the specialist expertise and compassionate care you need.