Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
- 8 Yrs
- ASCRS Member
Gynaecology · Uterine Health
Adenomyosis Treatment in Hyderabad: Uterus-Preserving Care at Lux Hospitals
Adenomyosis is endometrial tissue growing into the muscular wall of the uterus. It causes heavy bleeding with deep, dragging cramps, and a uterus that becomes bulky and tender.
For years it could only be diagnosed after a hysterectomy, so it was routinely missed and women were told nothing was wrong. MRI has changed that entirely. Our gynaecologists at Lux Hospitals, HITEC CITY diagnose it without surgery and treat it while keeping the uterus.
- MRI Diagnosis
- Uterus Preserved
- Women Gynaecologists
What is Adenomyosis?
Adenomyosis is the presence of endometrial glands and stroma, the tissue that normally lines the uterine cavity, embedded within the myometrium, the muscular wall itself. That tissue responds to the hormonal cycle and bleeds each month, but it is trapped inside muscle. The result is inflammation, swelling and a uterus that becomes globally enlarged, boggy and tender.
It comes in two patterns. Diffuse adenomyosis involves the wall widely and is the commoner form, producing a uniformly enlarged uterus. Focal adenomyosis forms a discrete mass, sometimes called an adenomyoma, which can look very like a fibroid on ultrasound but behaves quite differently and cannot be shelled out in the same way.
Adenomyosis and endometriosis are related but distinct. Endometriosis is tissue outside the uterus altogether; adenomyosis is tissue within its wall. A woman can have either or both, and roughly a third with one have the other. The distinction matters because the treatments diverge: endometriosis is often excised surgically, while adenomyosis cannot be cut out without taking the uterine wall with it.
Causes of Adenomyosis
The mechanism is not settled, but the risk factors point consistently toward disruption of the boundary between lining and muscle.
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Invasion through the junctional zone
Endometrial tissue breaching the normally sharp boundary between the lining and the muscle beneath. The leading explanation.
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Previous uterine surgery
Caesarean section, dilatation and curettage, or myomectomy can disrupt the boundary and allow tissue to grow inward.
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Childbirth
Adenomyosis is commoner in women who have had children, particularly multiple deliveries, though it does occur in women who have not.
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Age
Most commonly diagnosed between thirty-five and fifty, after years of cyclical hormonal exposure.
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Oestrogen dependence
Adenomyotic tissue is oestrogen-driven and produces oestrogen locally, which is why hormonal suppression works and why it resolves after menopause.
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Chronic inflammation
Inflammatory changes within the uterine wall both result from and appear to promote further invasion.
Because adenomyosis depends on oestrogen, it resolves completely at menopause. For a woman close to it, that fact genuinely changes the treatment conversation: enduring a few more years may be preferable to a hysterectomy.
Symptoms of Adenomyosis
The combination of very heavy bleeding with deep cramping pain, worsening over years, is characteristic.
Core symptoms
- Very heavy periods, often with large clots
- Severe cramping that worsens year on year
- A dragging or bearing-down pelvic pain
- Prolonged bleeding lasting more than a week
- A feeling of pelvic heaviness or fullness
- Pain during intercourse
Associated features
- Anaemia: fatigue, breathlessness, pallor
- A tender, bulky uterus on examination
- Bloating and abdominal distension
- Chronic pelvic pain between periods
- Difficulty conceiving or recurrent miscarriage
- Symptoms typically beginning in the thirties or forties
Period pain that has become progressively worse over years, rather than being severe from the start, is the pattern that most suggests adenomyosis rather than primary dysmenorrhoea.
How Adenomyosis is Diagnosed
For decades this could only be confirmed after hysterectomy. Imaging has made non-surgical diagnosis reliable.
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Clinical examination
A uniformly enlarged, soft, tender uterus (described as boggy) is characteristic and quite different from the firm irregular uterus of fibroids.
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Transvaginal ultrasound
Shows a thickened asymmetrical wall, small cysts within the muscle and a poorly defined junctional zone. Reliable in experienced hands.
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MRI pelvis
The most accurate non-surgical test. It measures the junctional zone precisely and distinguishes adenomyosis from fibroids, which matters enormously for treatment.
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Blood tests
Haemoglobin and ferritin, since heavy prolonged bleeding causes iron deficiency in a majority of women with adenomyosis.
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Excluding other causes
Endometrial biopsy where bleeding is irregular or you are over forty-five, to exclude hyperplasia or malignancy.
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Assessing for endometriosis
The two coexist in around a third of cases, and finding both changes the treatment plan considerably.
Distinguishing adenomyosis from fibroids on imaging is not academic. Fibroids can be removed and the uterus preserved; adenomyosis is spread through the wall and cannot be, so a myomectomy on misdiagnosed adenomyosis simply fails.
Treatment Options
Treatment aims at controlling bleeding and pain. The uterus can usually be preserved, though hysterectomy is the only cure.
Non-surgical
Medical management
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Hormonal intrauterine system
A levonorgestrel IUD, the single most effective treatment. It thins the lining, reduces bleeding markedly and eases pain, and lasts five years.
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Tranexamic acid and NSAIDs
Reduce blood loss and pain during the period without hormonal effect. Suitable where conception is being attempted.
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Combined oral contraceptives
Taken continuously to suppress periods altogether, which controls both bleeding and cyclical pain.
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Progestogens
Dienogest and similar drugs suppress the adenomyotic tissue directly and are well tolerated long term.
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GnRH analogues
Induce a temporary menopausal state, shrinking the uterus substantially. Used short term with add-back therapy to protect bone.
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Iron replacement
Correcting the anaemia that most women with adenomyosis have, which often improves wellbeing more than any other single measure.
Procedural
Interventional and surgical options
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Uterine artery embolisation
Blocking the blood supply through a catheter with no incision. It reduces bleeding and pain substantially while preserving the uterus.
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Endometrial ablation
Destroying the lining to control bleeding. It works less reliably than in other conditions, since adenomyosis lies deeper than ablation reaches.
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Adenomyomectomy
Excision of a focal adenomyoma with reconstruction of the uterine wall. Technically demanding, and only feasible for focal disease.
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High-intensity focused ultrasound
Non-invasive destruction of adenomyotic tissue using focused ultrasound guided by MRI. Available in selected centres.
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Hysterectomy
The only definitive cure, since the disease is within the uterine wall itself. Appropriate where family is complete and other treatments have failed.
The hormonal IUD is the first-line treatment and works well for a large majority. It is a five-minute outpatient procedure, and it deserves a proper trial before anyone discusses removing the uterus.
What Treatment Involves
Treatment escalates only as far as it needs to, and most women are controlled well short of surgery.
Stepped management, medical before surgical
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Establishing the diagnosis
Examination, transvaginal ultrasound and, where the picture is unclear or surgery is being considered, MRI to distinguish adenomyosis from fibroids.
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Correcting anaemia
Iron replacement started immediately, since most women presenting with adenomyosis are iron deficient whether or not haemoglobin is low.
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Agreeing your priority
Controlling bleeding, controlling pain, or conceiving. Treatment differs substantially depending on which matters most now.
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First-line treatment
A hormonal IUD fitted as an outpatient in about five minutes, or continuous hormonal treatment where an IUD is unsuitable.
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Allowing it to work
Three to six months before judging effect. Irregular spotting during this settling period is expected and is not failure.
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Escalating if needed
Progestogens, GnRH analogues or uterine artery embolisation where first-line treatment has not controlled symptoms.
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Considering definitive surgery
Hysterectomy discussed where symptoms remain disabling, family is complete, and the alternatives have genuinely been tried.
Where pregnancy is the goal, the hormonal options are largely unavailable, and treatment shifts to tranexamic acid, NSAIDs and fertility support. Say so early: it reshapes the entire plan.
Why Choose Lux Hospitals for Adenomyosis Treatment?
Adenomyosis is under-diagnosed and frequently treated with a hysterectomy that was avoidable. Here is why patients trust us:
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Diagnosed without surgery
Ultrasound and MRI used to make the diagnosis properly and to distinguish it from fibroids, which the treatment depends on entirely.
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Uterus-preserving options first
Hormonal IUD, medical management and embolisation offered properly before hysterectomy is ever raised.
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Comprehensive care
From the first consultation through to post-treatment follow-up, with one team throughout.
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Convenient location
Our hospital is in HITEC CITY, near IKEA: easily reachable from across Hyderabad.
Living With Adenomyosis
Adenomyosis is managed rather than cured, unless the uterus is removed. Control is realistic and usually achieved.
- Months 1–3
Diagnosis confirmed, iron started, and first-line treatment begun. Irregular spotting after IUD insertion is common in this period.
- Months 3–6
Bleeding reduces markedly and pain eases. Anaemia corrects and energy improves, often more noticeably than the bleeding change itself.
- Months 6–12
Full effect established. Where symptoms remain, escalation to progestogens, GnRH analogues or embolisation is considered.
- Years 1–5
Ongoing management with the IUD replaced at five years. Symptoms typically remain controlled throughout.
- At menopause
Adenomyosis resolves completely once oestrogen falls. For women close to menopause, this is a genuine endpoint rather than a consolation.
Aftercare
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Give the IUD three to six months
Irregular spotting during the settling period is expected. Most women who persist end up with very light periods or none at all.
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Replace your iron properly
Most women with adenomyosis are iron deficient even with normal haemoglobin. Rebuilding ferritin takes three to six months of consistent supplementation.
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Take painkillers before pain establishes
NSAIDs started a day before bleeding is due work considerably better than the same drug taken once cramping has begun.
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Know that hysterectomy is the only cure
Everything else controls symptoms while the disease remains. That is not a reason to rush to surgery, but it is worth understanding clearly.
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Raise fertility plans early
Adenomyosis can affect implantation and raise miscarriage risk. If you are planning pregnancy, that changes which treatments are available to you.
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Report any new bleeding pattern
Bleeding between periods, after intercourse, or after menopause needs separate investigation regardless of a known adenomyosis diagnosis.
Adenomyosis is often dismissed as bad periods for years before it is named. Having the diagnosis is itself worth a great deal, because it converts an unexplained symptom into a treatable condition.
When Should You See a Gynaecologist?
Book a consultation if any of the following apply.
- Very heavy periods, particularly with large clots.
- Period pain that has become progressively worse over the years.
- A dragging or bearing-down pelvic pain.
- Periods lasting longer than a week.
- Fatigue or breathlessness suggesting anaemia.
- Difficulty conceiving, or recurrent miscarriage.
Cost of Adenomyosis Treatment in Hyderabad
Diagnosis and medical management are modest in cost. Surgery applies only where symptoms remain uncontrolled.
| Procedure | Estimated Cost |
|---|---|
| Consultation Per visit | ₹800 – ₹1,500 |
| Transvaginal ultrasound First-line imaging | ₹1,500 – ₹3,500 |
| MRI pelvis Most accurate non-surgical test | ₹8,000 – ₹18,000 |
| Hormonal IUD insertion Includes device; lasts five years | ₹12,000 – ₹25,000 |
| Monthly medication Progestogen, pill or GnRH analogue | ₹400 – ₹3,500 |
| Endometrial ablation Day care or one night | ₹85,000 – ₹1,60,000 |
| Uterine artery embolisation Includes embolic material | ₹1,80,000 – ₹3,20,000 |
| Laparoscopic hysterectomy Two to three nights | ₹1,60,000 – ₹2,90,000 |
What changes the estimate
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Whether an IUD controls it
For a large majority, a hormonal IUD at ₹12,000–₹25,000 lasting five years is the whole treatment.
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Diffuse or focal disease
Focal adenomyosis may be excised with the uterus preserved. Diffuse disease spread through the wall cannot be, which limits the options.
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Whether fertility is to be preserved
Preserving the uterus rules out the definitive option and generally means longer-term medical management.
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Room category
A shared ward, a twin-sharing room or a private suite: the largest single swing in most estimates.
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Insurance & TPA cover
We are empanelled with most major insurers, and our team files the pre-authorisation for you.
Every figure above is an indicative range, not a quote. After your consultation you are given a written, fixed-cost estimate, and that is the number you pay, with no additions once treatment begins.
Other Gynecology & Obstetrics Treatments
Our Surgeons
Adenomyosis Specialists at Lux Hospitals
The gynaecologists who treat adenomyosis at our HITEC CITY hospital.
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Dr. Harshita Kakarla
Consultant Gynaecologist & Advanced Laparoscopic Surgeon
MBBS, MS, FMAS
16 years experience
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Dr. Ashwani Narla
Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon
MBBS, MS (Obstetrics & Gynaecology)
11 years experience
Testimonials
What Patients Say About Their Treatment
Reviews from women treated for gynaecological conditions at Lux Hospitals, Hyderabad.
From the Blog
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Got Questions?
Frequently Asked Questions
Common questions about adenomyosis, its treatment and what care costs at Lux Hospitals.
What is the best treatment for adenomyosis?
A hormonal intrauterine system is first-line and the most effective option short of surgery: it markedly reduces bleeding and pain, is fitted in about five minutes as an outpatient and lasts five years. Where that is insufficient, progestogens, GnRH analogues or uterine artery embolisation follow. Hysterectomy is the only cure.
Is adenomyosis the same as endometriosis?
No, though they are related and often confused. Endometriosis is endometrial-like tissue outside the uterus altogether: on the ovaries, peritoneum or bowel. Adenomyosis is that tissue within the uterine wall itself. Around a third of women have both, and the treatments differ because adenomyosis cannot be excised the way endometriosis can.
Can adenomyosis be treated without surgery?
Yes, and most women are. A hormonal IUD controls symptoms well for a large majority. Continuous oral contraceptives, progestogens such as dienogest, and GnRH analogues are all effective. Uterine artery embolisation reduces bleeding and pain substantially without any incision. Surgery is for cases these do not control.
Is adenomyosis dangerous?
It is not life-threatening and it does not become cancer. What it does is cause severe symptoms: heavy bleeding leading to anaemia, and pain that worsens over years. The anaemia is the aspect most often underestimated, and correcting it frequently improves how a woman feels more than anything else.
Can adenomyosis affect fertility?
It can. Adenomyosis is associated with reduced implantation rates and a higher miscarriage risk, and it appears to lower IVF success. Many women with adenomyosis conceive without difficulty, but if you are planning pregnancy it is important to say so early, since the hormonal treatments are then unavailable.
How is focal adenomyosis different?
Focal adenomyosis forms a discrete mass (an adenomyoma) rather than spreading through the wall. On ultrasound it can look very like a fibroid, but unlike a fibroid it has no clean plane to shell out from. It can sometimes be excised with uterine reconstruction, which diffuse adenomyosis cannot.
Does adenomyosis go away after menopause?
Yes, completely. Adenomyotic tissue is oestrogen-dependent, so once oestrogen falls after menopause the tissue becomes inactive and symptoms resolve. For a woman close to menopause with tolerable symptoms, waiting is a legitimate option worth discussing rather than proceeding to surgery.
Will I need a hysterectomy for adenomyosis?
Most women do not. Hysterectomy is the only definitive cure, because the disease sits within the uterine wall, but it should follow a genuine trial of a hormonal IUD, medical management and embolisation. It is reasonable to ask what else could be tried before agreeing to it.
How much does adenomyosis treatment cost in Hyderabad?
Diagnosis with ultrasound is ₹2,300–₹5,000, and MRI adds ₹8,000–₹18,000. A hormonal IUD is ₹12,000–₹25,000 lasting five years, and monthly medication ₹400–₹3,500. Endometrial ablation is ₹85,000–₹1,60,000, embolisation ₹1,80,000–₹3,20,000, and laparoscopic hysterectomy ₹1,60,000–₹2,90,000.
How can I book an appointment at Lux Hospitals?
You can book by calling us, messaging us on WhatsApp, or walking into Lux Hospitals, HITEC CITY. Bring any previous scans and, if you have one, a record of your cycle and pain pattern: the progression of pain over years is a particularly useful detail.
Still have questions? Call us at 079 6908 4422
Still have questions? Message us on WhatsApp at 079 6908 4444
Book an Adenomyosis Consultation in Hyderabad
Diagnosis without surgery and uterus-preserving treatment for adenomyosis, with costs shared upfront.
Plot No.116, Lumbini Avenue, HITEC CITY, Near IKEA, Hyderabad – 500032