Adenomyomectomy is a surgical procedure to remove localized adenomyosis from the uterus while preserving the uterus itself. It is an option for women who experience severe symptoms and want to retain fertility.
What is Adenomyosis?
A condition where endometrial tissue grows into the uterine muscle wall
Causes heavy menstrual bleeding, painful periods, and an enlarged uterus
Often seen in women in their 30s and 40s
Why Is Adenomyomectomy Done?
To relieve pain and heavy bleeding caused by adenomyosis
To preserve the uterus for future pregnancy
When medical treatment has failed
Benefits:
Uterus-conserving surgery
Improved menstrual symptoms and pain relief
Better reproductive outcomes in some cases
Risks & Considerations:
Risk of recurrence of symptoms
Surgical complexity due to diffuse uterine involvement
Uterine rupture in future pregnancy (rare, but possible)
Adenomyomectomy offers a uterus-preserving option for symptomatic adenomyosis, especially in women seeking fertility while aiming for long-term symptom relief.