All you need to know about adenomyosis

Written by: Mr Mahantesh Karoshi
Published:
Edited by: Conor Lynch

We recently spoke with esteemed London-based women’s health expert, Mr Mahantesh Karoshi, in order to find out what exactly adenomyosis is, what the main symptoms and causes are, and how this female-affecting condition can be most effectively treated.

What exactly is adenomyosis?

I frequently encounter scenarios whereby women are left incredibly confused after they have presented with severe bloating and constipation, and who have had a colonoscopy done, which has ruled out everything, including pregnancy and irritable bowel syndrome (IBS).

 

The next step after the colonoscopy then for women presenting with unexplained symptoms of bloating would typically be an ultrasound scan, which is very reliable and effective when diagnosing and detecting a condition called adenomyosis, a condition where the lining of the womb grows in between the muscle fibres of the uterus.

 

What are the main symptoms of adenomyosis? What does it cause?

Adenomyosis causes a collection of blood pockets, which lead to intense crampy pains, accompanied by bloating, constipation, and heavy periods.

 

Some women with this problem can have alternating constipation and diarrhoea, especially so in women with endometriosis affecting the lower back of the womb (uterosacral ligaments) in combination with adenomyosis.

 

What are the main treatment options that can effectively alleviate adenomyosis symptoms?

If the pain symptoms are not long-standing, then a corrective intervention, be it a mirena, cerazette, uterine artery, embolisation, or a hysterectomy, can alleviate the symptoms altogether.

 

It is natural (especially in women who are thin-built) to feel bloated and have a tummy distended in the second half of the cycle. This occurs due to a post-ovulation production of progesterone (from corpus luteum).

 

What are the main causes of adenomyosis?

There are a handful of causes that lead to women presenting symptoms of adenomyosis. These include the following:  

 

  1. Poor abdominal muscle tone following childbirth.
  2. Morbid obesity.
  3. Large fibroids.
  4. Large cyst/s in the ovaries.

 

Mr Mahantesh Karoshi is a highly reputable consultant gynaecologist who is an expert when it comes to fertility issues in women. Consult with him today by visiting his Top Doctors profile here today.

By Mr Mahantesh Karoshi
Obstetrics & gynaecology

Mr Mahantesh Karoshi is a London-based women’s health expert and consultant gynaecologist, with a special interest in ovarian cysts, heavy menstrual bleeding, infertility, fibroids, and adenomyosis. He is currently one of the most highly-rated gynaecologists in London with a very good reputation amongst his patients and peers.

Mr Karoshi's work is recognised internationally, having volunteered in Ethiopia’s Gimbie Hospital, and later receiving the Bernhard Baron Travelling Fellowship from the Royal College of Obstetricians and Gynaecologists which led to his work in the University of Buenos Aires. Here he worked on the techniques needed to surgically manage morbidly adherent placental disorders - a serious condition that can occur in women with multiple caesarean sections.

He believes in an open doctor-patient relationship, being sure to include the patient and educating them so that they understand their condition better and they can be directly involved in their care and management at every stage. Aside from his clinical work, he is actively involved in research, which together with his experience, has given him the opportunity to publish the first stand-alone textbook on postpartum haemorrhage which was launched by HRH Princess Anne.

At the core of Mr Karoshi's practice is a high standard of professionalism where patients are involved in their treatment and where the latest techniques and advancements are used to provide an extremely high level of care.

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