Do I have adenomyosis and if so, how do I manage it?

Catch up on our webinar with Epworth gynaecologist, Dr Tarana Lucky.

This webinar discusses the often-overlooked condition of adenomyosis, which is closely related to but distinct from endometriosis. Adenomyosis is a common gynaecological condition that can cause significant pelvic pain, abnormal bleeding, and fertility challenges. Despite its prevalence, adenomyosis is frequently underdiagnosed and overshadowed by endometriosis. Specialist Gynaecologist, Dr Tarana Lucky provides a comprehensive overview of adenomyosis, including its definition, epidemiology, diagnosis and management.

Dr Tarana Lucky is an AGES-accredited Robotic, Advanced Laparoscopic and Hysteroscopic Surgeon. She has completed a six-month overseas fellowship in New York and Bordeaux (France). She is the lead in multiple clinical trials and observational pelvic pain and endometriosis studies.

This webinar covers:

Understanding adenomyosis

Adenomyosis occurs when the endometrial tissue, which normally lines the inside of the uterus, grows into the muscular wall of the uterus. This displacement of the endometrial cells can lead to inflammation, bleeding, and pain within the uterine muscle. Adenomyosis is often referred to as the "evil twin sister" of endometriosis, as the two conditions share similarities but also have distinct differences in their pathogenesis and management. Symptoms can also overlap.

How common is it?

Adenomyosis is a relatively common condition, affecting approximately one in five individuals assigned female at birth. It often appears in individuals in their 30s and 40s.

Diagnosis and evaluation

Diagnosing adenomyosis can be challenging, as the condition often presents with non-specific symptoms such as pelvic pain and heavy or irregular menstrual bleeding. A thorough medical history, physical examination, and specialised imaging techniques, such as transvaginal ultrasound and MRI, are used for diagnosis. Surgical evaluation through laparoscopy may also be necessary in some cases.

Management strategies

The management of adenomyosis is tailored to the individual's symptoms, fertility goals, and personal preferences. Non-hormonal and hormonal treatments, such as progestin-releasing intrauterine devices (IUDs) and oral contraceptives, are often the first-line options to manage symptoms. Radiological interventions, such as uterine artery embolisation, and surgical approaches, including endometrial ablation or hysterectomy, may be considered in more severe or refractory cases.

Conclusion

Adenomyosis is a complex and often underdiagnosed condition that can significantly impact an individual's quality of life. A comprehensive, multidisciplinary, and patient-centred approach is essential for the effective management of this condition. Increased awareness, research, and access to specialised care are crucial to improve the understanding and treatment of adenomyosis.

Our services

The Julia Argyrou Endometriosis Centre at Epworth aims to deliver the best care for patients, while also improving current diagnosis and treatment options and working towards a cure for endometriosis.

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