Medical Therapy
Hormonal medicines or intrauterine devices (Mirena IUD) to reduce bleeding and pain. Temporary symptom control for mild disease or perimenopausal women.
Laparoscopic Uterine Surgeries · Ludhiana, Punjab
Adenomyoma Surgery
Relieving pain, preserving fertility — advanced laparoscopic adenomyomectomy using state-of-the-art 4K HD systems to precisely remove diseased tissue, reconstruct the uterine wall, and restore natural function with minimal pain and rapid recovery.
About laparoscopic adenomyoma surgery
Adenomyoma is a hidden yet powerful cause of severe menstrual pain, heavy bleeding, and infertility in women of reproductive age. It occurs when the inner lining of the uterus (endometrium) grows deep into its muscular wall, forming a localised mass that leads to an enlarged, tender, and painful uterus. For many women, this condition quietly disrupts everyday life causing exhaustion, discomfort, and difficulty conceiving.
At Dr Rama Sofat Hospital, Ludhiana, we bring hope through advanced laparoscopic adenomyoma surgery, a precise and minimally invasive technique that removes the diseased tissue while preserving the uterus and fertility. Using state-of-the-art 4K and HD laparoscopic systems, our skilled surgeons delicately excise the adenomyoma, reconstruct the uterine wall, and restore its natural function ensuring minimal pain, rapid recovery, and long-lasting relief.
Our approach goes beyond surgery — we combine expert diagnosis, fertility-focused planning, and holistic postoperative care to help every woman regain comfort, hormonal balance, and confidence in her body.
What is adenomyoma?
- Adenomyoma is a benign (non-cancerous) growth formed when the tissue that normally lines the uterus (endometrium) grows deep into the muscular wall of the uterus (myometrium), creating a localised mass.
- It behaves like endometriosis within the uterine muscle, causing the uterus to enlarge, become tender, and result in painful or heavy menstrual bleeding.
- Adenomyoma is often confused with fibroids but differs in its tissue composition and management.
Incidence
Adenomyoma most commonly affects women between 30–50 years of age, especially those who have had multiple pregnancies or uterine surgeries such as a caesarean section.
Recent studies show that up to 20% of women presenting with chronic pelvic pain or heavy menstrual bleeding have underlying adenomyosis or adenomyoma.
Are adenomyomas dangerous?
Adenomyomas are not cancerous and rarely turn malignant. However, they can cause severe menstrual pain, heavy bleeding, anaemia, and infertility if left untreated. Because their symptoms mimic fibroids, accurate diagnosis is vital to ensure proper treatment and uterine preservation.
Causes & risk factors
The exact cause is unclear, but several risk factors contribute:
- Hormonal imbalance (excess oestrogen stimulation)
- Previous uterine surgeries (C-section, D&C, fibroid removal)
- Multiple pregnancies
- Endometriosis or fibroid coexistence
- Genetic predisposition
- Age 35+ years
Symptoms of adenomyoma
- Heavy or prolonged menstrual bleeding
- Severe menstrual cramps (dysmenorrhoea)
- Pelvic pain or pressure
- Enlarged, tender uterus
- Pain during intercourse (dyspareunia)
- Infertility or repeated miscarriages
- Chronic fatigue or anaemia due to blood loss
Symptoms often worsen gradually, so early detection makes a major difference.
Diagnosis of adenomyoma
At Dr Rama Sofat Hospital, Ludhiana, adenomyoma is diagnosed using advanced fertility-oriented imaging:
- 2D/3D Pelvic Ultrasound to assess uterine enlargement and myometrial texture
- MRI Pelvis — the gold standard to differentiate adenomyoma from fibroids
- Hysteroscopy / Laparoscopy for direct visual assessment and confirmation
Accurate diagnosis helps design a personalised treatment plan focused on pain relief and fertility preservation.
Impact on women's health
Untreated adenomyoma can significantly affect quality of life:
- Chronic pelvic pain and fatigue
- Heavy bleeding leading to anaemia
- Reduced sexual comfort and confidence
- Difficulty conceiving or maintaining pregnancy
- Emotional stress, anxiety, and poor sleep
Holistic management not only relieves pain but also restores hormonal balance and fertility potential.
When to see a doctor
Consult a gynaecologist in Ludhiana if you experience:
- Periods that are unusually painful or heavy
- Pelvic pressure or bloating
- Difficulty conceiving
- A history of fibroid-like symptoms not improving with medication
Early medical evaluation prevents complications and helps preserve the uterus.
Treatment options
Treatment depends on symptoms, severity, and fertility goals.
Laparoscopic Adenomyomectomy (Definitive Treatment)
At Dr Rama Sofat Hospital, we perform fertility-preserving laparoscopic surgery to precisely remove the adenomyoma while reconstructing the uterus.
How is the Surgery Performed?
01
Keyhole Incisions
3–4 small incisions are made in the abdomen.
02
Visualisation
A laparoscope (tiny camera) is inserted to give a magnified view of the uterus.
03
Precise Dissection
The surgeon carefully identifies and removes the adenomyotic tissue or adenomyoma while preserving surrounding healthy muscle.
04
Uterine Reconstruction
The uterus is meticulously repaired and reconstructed using layered sutures to restore normal strength and shape.
05
Closure
Incisions are closed neatly with minimal scarring.
Using 4K HD Laparoscopy, Our Specialists
- Identify and excise the diseased tissue
- Rebuild the uterine wall to maintain its strength
- Ensure minimal blood loss and scar formation
- Offer fast recovery with tiny incisions
Hysterectomy
Total laparoscopic hysterectomy (TLH) reserved only for women who have completed their family and have severe or recurrent adenomyoma.
Advantages of laparoscopic adenomyomectomy
Preserves the uterus and fertility
Effective pain relief and reduction in heavy bleeding
Minimal blood loss during surgery
Short hospital stay (usually discharged next day)
Faster recovery and quick return to normal routine
Small, nearly invisible scars
Improved quality of life after surgery
Fertility & pregnancy considerations
Adenomyoma can interfere with conception by distorting the uterine cavity or altering implantation. Laparoscopic removal enhances fertility by:
- Restoring normal uterine shape and function
- Improving implantation rates
- Reducing miscarriage risk
Our fertility-preserving approach ensures the uterus remains capable of supporting a healthy pregnancy.
Prevention & lifestyle
While adenomyoma cannot always be prevented, symptoms can be managed with:
- Balanced diet rich in fruits, vegetables, and omega-3 fats
- Regular exercise to maintain hormonal balance
- Stress reduction and adequate sleep
- Limiting caffeine, alcohol, and processed food
- Routine gynaecological check-ups for early detection
Myths vs facts
| Myth | Fact |
|---|---|
| Adenomyoma is the same as fibroid | They are different — fibroids are muscular tumours, while adenomyomas are glandular–muscular growths. |
| It always needs uterus removal | Modern laparoscopic surgery can remove adenomyoma while preserving fertility. |
| It's a rare condition | It's relatively common but often under-diagnosed. |
| Medicine alone can cure it | Medication controls symptoms but does not remove the lesion. |
| Adenomyoma never affects fertility | It can significantly reduce conception chances if untreated. |
Frequently asked questions
Is laparoscopic adenomyoma surgery safe?
Yes, it is safe and effective when performed by skilled laparoscopic surgeons.
What is the recovery time?
Most patients return to normal activities within 7–10 days.
Can adenomyoma come back after surgery?
Recurrence is uncommon with complete excision, though regular follow-ups are advised.
Will surgery affect my ability to conceive?
No, laparoscopic adenomyomectomy actually improves fertility outcomes.
When can I try for pregnancy after surgery?
Usually after 3–6 months, once the uterus has fully healed.
Why choose Dr Rama Sofat Hospital
Expert team led by Dr Amit Sofat & Dr Ruchika Sofat — leading laparoscopic and fertility specialists in Ludhiana
Decades of experience in uterine-sparing surgeries with high success rates
4K HD and HD laparoscopy systems for unparalleled precision and minimal trauma
Integrated fertility and IVF services for complete reproductive care
Patient-centred approach, focusing on comfort, safety, and long-term wellbeing
Book your consultation
If you're suffering from adenomyoma, heavy bleeding, or pelvic pain, book your consultation with Dr Amit Sofat & Dr Ruchika Sofat at Dr Rama Sofat Hospital, Ludhiana.