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Understanding why Adenomyosis is on the rise among Indian women

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By: Dr. Pradeep Muley

Adenomyosis, a condition characterized by the abnormal growth of endometrial tissue within the muscular walls of the uterus, has become an increasingly prevalent concern among Indian women in recent years. Pertaining to the same, it crucial to shed light on this rising trend, exploring its causes, associated issues, and the innovative non-surgical approach of Uterine Artery Embolization (UAE) in treating adenomyosis.

Causes & associated ailments

Adenomyosis poses unique challenges to women’s health, impacting their overall well-being and reproductive capabilities. The exact cause of adenomyosis remains unclear, but hormonal imbalances, inflammation, and genetic factors are believed to contribute to its development. The condition often presents with symptoms such as heavy menstrual bleeding, severe pelvic pain, and discomfort during intercourse. These symptoms not only affect a woman’s quality of life but can also lead to long-term complications if left untreated.

Traditionally, the management of adenomyosis has involved hormonal therapies, pain medications, and, in severe cases, surgical interventions like hysterectomy. However, with advancements in medical technology, non-surgical alternatives have emerged as effective options for addressing adenomyosis, with Uterine Artery Embolization standing out as a promising solution.

Advanced non-Surgical procedure – Uterine Artery Embolization

Uterine Artery Embolization is a minimally invasive procedure that involves blocking the blood vessels supplying the uterus with tiny particles. This process restricts blood flow to the abnormal tissue, causing it to shrink and alleviating symptoms associated with adenomyosis. Unlike conventional surgical approaches, UAE preserves the uterus, offering women an option to retain their reproductive capabilities.

One of the key advantages of Uterine Artery Embolization is its minimal invasiveness, reducing the need for major surgery and the associated risks. Patients typically experience a quicker recovery with shorter hospital stays compared to traditional surgical interventions. Moreover, UAE offers a fertility-preserving alternative, making it an attractive option for women who wish to conceive in the future.

UAE vs Conventional treatment

Compared to other conservative treatments such as hormonal therapies, Uterine Artery Embolization directly addresses the abnormal tissue growth within the uterine walls. Hormonal treatments may provide temporary relief, but they often come with side effects and may not be suitable for all women, especially those seeking fertility preservation. UAE, on the other hand, offers a targeted approach with lasting results.

Furthermore, Uterine Artery Embolization has proven effective in managing adenomyosis-related symptoms, including heavy menstrual bleeding and pelvic pain. Studies have shown that the majority of women who undergo UAE experience significant improvement in their quality of life, with a reduction in pain and an enhancement in overall well-being.

It is crucial to highlight that Uterine Artery Embolization is not a one-size-fits-all solution. Patient selection is key, and a thorough evaluation by a qualified healthcare professional is essential to determine the suitability of UAE for an individual case. The procedure is generally well-tolerated, but like any medical intervention, it carries potential risks and complications that should be discussed with the treating physician.

The rising incidences of adenomyosis among Indian women underscore the importance of exploring advanced and effective treatment options. Uterine Artery Embolization emerges as a game-changer in managing adenomyosis, offering a non-surgical alternative with minimal invasiveness, shorter recovery times, and fertility preservation. As we continue to advance in the field of women’s health, it is imperative that both healthcare providers and patients are informed about innovative solutions like UAE that can significantly improve the lives of those affected by adenomyosis.

The writer is Consultant – Interventional Radiology, Fortis Hospital VasantKunj, New Delhi.

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