WHAT IS ADENOMYOSIS?

In adenomyosis the tissue that lines the uterus (endometrium) grows within the muscular outer walls of the uterus. This is most likely to happen from the age of 30-50. 

Adenomyosis isn’t the same as endometriosis (a condition in which the uterine lining is implanted outside the uterus).

Although the cause of adenomyosis remains unknown, the disease disappears after menopause. 

SIGNS AND SYMPTOMS

• Excessive menstrual bleeding - heavy or prolonged.
• Severe cramping pain (dysmenorrhea) during your periods.
• Menstrual cramps that last throughout your period and worsen as you get older.
• Pain during intercourse.
• Your uterus may increase to double or triple its normal size. You may notice that your lower abdomen seems bigger or feels tender.

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Reviewed By : Dr Deepak Rao 
Mail Us : rashmihospital123@gmail.com
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I Have A Thick Endometrium Endometrial Hyperplasia

What is endometrial hyperplasia?

Endometrial hyperplasia occurs when the uterine lining (endometrium) grows too thick as a result of estrogen stimulation (or not enough progesterone). 

Endometrial hyperplasia is a non-cancerous condition, however, hyperplasia with atypia (abnormal cells) is considered precancerous. It is best treated surgically with a hysterectomy. 

WHO IS AT RISK 

• Older women experiencing menopause 
• Overweight 
• Women with polycystic ovarian disease 
• Never having been pregnant 
• Early menarche 
• Obesity / diabetes mellitus

WHAT ARE THE SYMPTOMS OF ENDOMETRIAL HYPERPLASIA 

Abnormal uterine bleeding 

Contact your doctors if you have

•  Heavy periods 
•  Shorter cycles 
•  Prolonged periods 
•  Spotting between periods 

HOW IS THIS DIAGNOSED 

  1. USG  - Ultrasound - your doctor will ask you to get an ultrasound done to measure the thickness of the endometrium.

If the endometrium is very thick the possibility of a uterine polyp has to be considered. 

2. Hysteroscopy with a Dilatation and Curettage - A hysteroscopy will allow the surgeon to actually see the lining of the uterus and thereby determine how healthy it is. 

D & C - following the hysteroscopy he/she may do a curettage and the material will be sent for histopathological evaluation. 

HOW IS ENDOMETRIAL HYPERPLASIA TREATED 

The various treatment options depend on 

1. The amount of vaginal bleeding 
2.  The type of hyperplasia. If the cells are abnormal or atypical.
3.  If you are planning a pregnancy.

Discuss the various choices with your doctor. 

1. Progesterone therapy - either orally or through an intrauterine device. This treats the hormonal in balance. 
2. Hysterectomy may be advised if 

• You are post-menopausal.
•  If you do not respond to treatment and the bleeding is persistent and heavy.
•  If the hyperplasia is of an advanced type that may progress to malignancy.
•  If the hyperplasia worsens over a period of time. This can be found out by a repeat biopsy (hysteroscopy) often a few months of treatment. 

In the above conditions, you may be advised for a laparoscopic hysterectomy. 

Visit Us  : rashminursinghome.com

Reviewed By : Dr Deepak Rao 
Mail Us : rashmihospital123@gmail.com
Book Your Appointment Here : rashminursinghome.com/book-appointment.html

FAMILY PLANNING SURGERY - TUBAL LIGATION

Tubal ligation or tubal sterilization is a type of permanent birth control. 

WHAT IS DONE. 

During tubal ligation the fallopian tubes are cut, blocked or removed. This blocks the path of the egg which travels from the ovaries to meet the sperm. 

WHY IS IT DONE. 

• Female sterilization is one of the most common procedures as a method of permanent family planning. 
• It does not protect against sexually transmitted diseases (STDs)
• It may decrease the chance of ovarian cancer, more so if the fallopian tubes are removed. 

WHEN IS IT DONE. 

• Following a normal vaginal delivery. 
• During a C-section 
• Anytime - also called an ‘Internal T.L.’
• Can be done along with a MTP. 

HOW IS IT DONE. 

In RASHMI HOSPITAL, except during a C-section we perform a Tubal ligation through minimally invasive technique. 

• We perform a laparoscopic T.L. 
• It is done as a day care procedure under general anaesthesia. You can go home in a few hours. 
• Complications are rare. 

WHAT CAN YOU EXPECT 

• It is a permanent birth control method. 
• Tubal Ligation reversal can be attempted but the surgery is long and not always successful. 
• Rarely the procedure can fail. When the procedure fails there is a risk of an ectopic pregnancy. This requires immediate treatment. 

Visit Us        : rashminursinghome.com
Reviewed By : Dr Deepak Rao 
Mail Us        : rashmihospital123@gmail.com
Book Your Appointment Here : rashminursinghome.com/book-appointment.html