The exact cause of adenomyosis is not fully understood, but research suggests multiple contributing factors, including:

• Hormonal factors: High levels of estrogen and progesterone play a key role in abnormal tissue growth
• Uterine inflammation: Chronic inflammation following childbirth or uterine surgery (like C-section)
• Invasive tissue growth: Endometrial tissue may grow into the uterine muscle layer
• Genetic predisposition: Family history of adenomyosis or endometriosis increases risk

Fact: Adenomyosis often occurs in women aged 35–50, especially those with a history of childbirth or prior uterine surgery.

Adenomyosis symptoms vary, but they typically worsen over time. Common signs include:

• Heavy or prolonged menstrual bleeding: Often leading to anemia
• Severe menstrual cramps: Pain that increases over the years (dysmenorrhea)
• Chronic pelvic pain: Discomfort even between periods
• Pain during intercourse: Due to uterine inflammation and thickening
• Infertility: Difficulty conceiving because of uterine distortion

Tip: If you experience these symptoms, consult a gynecologist early to prevent complications and improve quality of life.

Adenomyosis can significantly impact a woman’s quality of life, both physically and emotionally. Common challenges include:

• Chronic pelvic pain: Persistent discomfort affecting mobility and comfort
• Severe fatigue: Often due to anemia from heavy menstrual bleeding
• Disrupted routines: Difficulty managing work, household tasks, and social commitments
• Emotional stress: Anxiety, depression, and frustration caused by infertility or constant pain

For many women, these symptoms interfere with personal, professional, and social life, making timely diagnosis and treatment essential.

Laparoscopic adenomyomectomy is recommended when symptoms of adenomyosis significantly impact quality of life or fertility, and conservative measures fail. Common indications include:

• Severe pelvic pain and cramping that disrupt daily activities
• Heavy or prolonged menstrual bleeding (menorrhagia)
• Infertility linked to adenomyosis
• Failure of medical management (e.g., hormonal therapy) to control symptoms
• A strong desire to preserve the uterus for future pregnancy

Tip: This uterus-sparing procedure is ideal for women seeking pain relief and improved fertility without opting for hysterectomy.

Untreated adenomyosis can lead to worsening symptoms and long-term complications, such as:

• Persistent and severe pelvic pain
• Chronic anemia from heavy menstrual bleeding
• Infertility or pregnancy complications
• Higher risk of requiring a hysterectomy later in life

Tip: Early medical or surgical intervention can help manage symptoms and protect fertility.

Laparoscopic adenomyomectomy offers significant advantages over open surgery for treating adenomyosis. Key benefits include:

• Minimally invasive approach: Smaller incisions mean less pain, reduced scarring, and faster healing
• Uterus preservation: Ideal for women planning future pregnancies
• Improved quality of life: Effective relief from heavy bleeding and severe pelvic pain
• Short hospital stay: Most patients can return home within 24 hours

Bonus: Reduced recovery time allows you to resume daily activities quickly compared to traditional surgery.

Your first consultation for laparoscopic adenomyomectomy is designed to evaluate your condition and discuss treatment options. It typically includes:

• Medical history: Review of your symptoms, menstrual cycles, and prior treatments
• Physical examination: Pelvic exam to check for tenderness or uterine enlargement
• Procedure discussion: Explanation of surgical options, benefits, risks, and recovery expectations
• Open Q&A: An opportunity to ask questions and clarify concerns for better treatment planning

Tip: Come prepared with your medical records and questions to make the most of your consultation.

Accurate diagnosis of adenomyosis is essential to plan effective treatment and preserve fertility when possible. The diagnostic process includes:

• Ultrasound: Detects thickening of the uterine wall or abnormal tissue growth
• MRI (Magnetic Resonance Imaging): Provides detailed visualization of uterine layers and confirms adenomyosis
• Blood tests: Rules out anemia and hormonal imbalances that may cause similar symptoms
• Histopathology: Biopsy in select cases for definitive confirmation

Goal: Comprehensive evaluation ensures the best surgical plan for symptom relief and future fertility preservation.

Laparoscopic adenomyomectomy is a minimally invasive procedure performed under general anesthesia to remove adenomyotic tissue while preserving the uterus. The steps include:

• Anesthesia: General anesthesia ensures you remain comfortable throughout the surgery
• Small incisions: Tiny cuts in the abdomen allow the insertion of a laparoscope and specialized instruments
• Excision of adenomyoma: The surgeon carefully removes the affected tissue while preserving healthy uterine tissue
• Closure: Incisions are sutured using dissolvable stitches for minimal scarring

Duration: The procedure typically takes about 2–3 hours, depending on the extent of adenomyosis.

While generally safe, laparoscopic adenomyomectomy carries potential risks like any surgery. These may include:

• Vaginal bleeding or postoperative infection
• Damage to nearby organs such as the bladder or bowel (rare)
• Development of adhesions (scar tissue)
• Recurrence of adenomyosis symptoms
• Incomplete symptom relief in severe cases
• Weak scar on the uterus, which may affect future pregnancy considerations

Note: Your surgeon will evaluate individual risks and provide personalized guidance during your consultation.

Recovery from laparoscopic adenomyomectomy is faster compared to open surgery, but it still requires careful post-operative care. Here’s what to expect:

• Day 1: Walk within a few hours after surgery; mild pain is managed with medication
• Day 2–3: Discharge from the hospital; light household activities can be resumed
• Week 1: Return to normal diet and basic activities; avoid lifting heavy objects
• Week 2–3: Gradual increase in activity; most patients report significant pain relief
• Week 4–6: Complete recovery, including exercise and sexual activity, after doctor’s clearance

Tip: Follow your doctor’s instructions, attend follow-up visits, and avoid heavy exertion to prevent complications.

Laparoscopic adenomyomectomy has an excellent success rate in improving quality of life for women with adenomyosis:

• Over 95% of patients report significant relief from severe pain and heavy menstrual bleeding
• Fertility outcomes: Many women successfully conceive and deliver healthy babies after surgery
• Long-term effectiveness: Combining surgery with medical therapy reduces recurrence risk

Clinical Insight: Success rates range between 95%–98% for symptom control and uterus preservation.

Adopting healthy habits after laparoscopic adenomyomectomy can aid recovery, reduce recurrence risk, and improve overall well-being. Recommended lifestyle changes include:

• Balanced diet: Eat iron-rich foods to prevent anemia and include anti-inflammatory foods like green vegetables, fruits, and omega-3 sources
• Regular exercise: Gentle walks and light stretching after clearance help improve blood flow and recovery
• Stress management: Practice yoga, meditation, or relaxation techniques to reduce hormonal imbalance
• Avoid smoking and alcohol: These can impact hormone levels and slow healing
• Follow-up care: Attend regular check-ups to monitor healing and prevent recurrence

Tip: Pair these lifestyle changes with your doctor’s advice for the best post-surgery outcome and long-term symptom control.

Dr. Dimple Doshi is a leading laparoscopic surgeon in Mumbai, India, specializing in advanced minimally invasive gynecological surgeries, including laparoscopic adenomyomectomy. She offers:

• Extensive experience in managing complex adenomyosis cases
• Compassionate, patient-focused care at Vardaan Hospital, Goregaon West
• Advanced technology including Karl Storz 4K 3D laparoscopic systems
• High success rates in symptom relief and fertility preservation

Dr. Doshi’s reputation for safe and effective care makes her one of the most trusted gynecologists for adenomyosis treatment in Mumbai.

The cost of laparoscopic adenomyomectomy at Vardaan Hospital, Mumbai, starts from ₹70,000 onwards. Final cost depends on:

• Room category and hospital stay duration
• Use of advanced laparoscopic technology
• Pre-operative investigations and medications
• Post-operative care and follow-up consultations

Note: Transparent pricing with comprehensive packages ensures a smooth experience from admission to recovery.

After laparoscopic adenomyomectomy, your uterus needs time to heal before conceiving to avoid complications like uterine rupture. Here’s what experts recommend:

• Wait 6–12 months: This allows the uterine scar to strengthen and reduces pregnancy risks
• Follow-up scans: Imaging ensures proper healing of the uterine wall before conception
• Fertility counseling: Discuss natural conception versus assisted reproductive techniques (like IVF) if required
• Plan delivery carefully: Most cases require a cesarean section for safe childbirth after adenomyomectomy

Tip: Always get your doctor’s clearance before trying to conceive after surgery to ensure safety for both mother and baby.

ICD-10 Codes for Adenomyosis and Related Conditions

CPT Codes for Laparoscopic Adenomyomectomy

Q1. How successful is laparoscopic adenomyomectomy?

Q2. What are the risks of adenomyomectomy?

Q3. Can adenomyosis return after adenomyomectomy?

Q4. Can I get pregnant after adenomyomectomy?

Q5. How is adenomyomectomy different from hysterectomy?

Q6. How long does laparoscopic adenomyomectomy surgery take?

Q7. What is the recovery time after adenomyomectomy?

Q8. Does adenomyomectomy affect fertility?

Q9. How is the uterus repaired after adenomyomectomy?

Q10. Is adenomyomectomy safe for all patients?

Q11. What are the side effects of adenomyomectomy?

Q12. Can adenomyosis spread to other organs?

Q13. How does adenomyomectomy help in relieving pain?

Q14. At what age does adenomyosis usually occur?

Q15. Can adenomyomectomy prevent hysterectomy?

Q16. What foods should I avoid after adenomyomectomy?

Q17. Is adenomyomectomy the same as myomectomy?

Q18. What are the long-term benefits of adenomyomectomy?