Adenomyosis is a condition in which tissue that normally lines the uterus grows into the muscular wall of the uterus. This condition can cause severe menstrual pain, pelvic pain, and may interfere with daily activities.
This was experienced by Mrs. Egha, a patient from Jakarta who suffered from severe menstrual pain and was eventually diagnosed with adenomyosis measuring around 5 cm. After considering several treatment options, Mrs. Egha finally underwent High Intensity Focused Ultrasound (HIFU) treatment with dr. Gracia Merryane R.G. Rauw, Sp.OG, an obstetrician and gynecologist (OBGYN) at Mandaya Royal Hospital Puri, without surgery or incisions.
“On the first day after the procedure, I already felt much better and was even able to go home. I was admitted on Monday afternoon, had the procedure on Tuesday, and by Wednesday I was discharged. I already felt healthy, could resume normal activities, shower independently, and was able to walk just a few hours after the procedure,” said the patient.
Contents
Severe Menstrual Pain Became the Initial Complaint
Mrs. Egha initially sought medical attention because she experienced severe abdominal and pelvic pain during menstruation. In the two months prior to the examination, the pain had become significantly worse than before.
After further evaluation with the doctor, adenomyosis measuring approximately 3–4 cm was discovered. However, after additional assessment, the adenomyosis was found to have grown to around 5 cm.
This condition began interfering with her daily activities, especially during menstruation. Therefore, the patient started considering medical treatment to relieve her symptoms.
Choosing HIFU Because It Requires No Surgery or Incisions
During consultation at Mandaya Royal Hospital Puri, the patient was offered several treatment options. However, surgery remained frightening because it is associated with incisions and a longer recovery process.
On the other hand, the hospital provides HIFU technology, a non-invasive (non-surgical) therapy that can help treat various benign tumors without surgery, ranging from fibroids to adenomyosis.
HIFU technology works by using high-intensity ultrasound waves focused directly on the targeted tissue to destroy abnormal tissue without damaging surrounding healthy tissue. The damaged abnormal tissue will then be naturally absorbed by the body over the course of several weeks to months.
The patient became interested in HIFU because the procedure does not require any incisions at all. In addition, the recovery process is considered faster compared to conventional surgery.
Before the procedure, the patient also received a detailed simulation and explanation regarding the HIFU procedure, helping her feel calmer and better understand the treatment process she would undergo.
In addition to not requiring surgery or incisions, here are several other advantages of HIFU for adenomyosis treatment:
- Post-procedure pain is generally more minimal compared to conventional surgery.
- The therapy uses high-intensity ultrasound waves without radiation exposure.
- Ultrasound waves precisely and accurately target adenomyosis tissue.
- This treatment helps preserve the uterus, allowing the possibility of maintaining reproductive function.
- Because it does not involve open surgery, the risk of bleeding during the procedure tends to be lower.
- Recovery time is relatively faster, so patients usually do not need prolonged hospitalization.
- After the procedure, patients can generally return to daily activities sooner.
Fast Recovery and Gradual Symptom Improvement
After undergoing HIFU treatment, the patient stated that she did not experience severe abdominal pain. The only complaint was mild discomfort similar to menstrual cramps.
The patient underwent only a short hospital stay, being admitted on Monday afternoon, receiving the procedure on Tuesday, and being discharged on Wednesday. Just a few hours after the procedure, she was already able to walk and perform activities independently.
The treatment evaluation showed that the adenomyosis tissue had been successfully treated and the procedure went smoothly. After the procedure, the patient also reported feeling much better than before.
In addition to the technology itself, the patient felt greatly supported by the medical team who accompanied her throughout the treatment process. Doctors, nurses, and the anesthesia team all helped ensure she felt comfortable during the procedure.
For women who frequently experience severe menstrual pain, pelvic pain, or lower back pain during menstruation, early medical examination is very important so the condition can be treated before it significantly affects quality of life.
Also read: 7 cm Fibroid Successfully Eliminated Without Surgery at Mandaya Royal Hospital Puri Using HIFU Technology
HIFU Has Been Used Worldwide to Treat Hundreds of Thousands of Cases
Although HIFU may still sound unfamiliar to many people in Indonesia, this technology has actually been widely used in many countries as a method for treating adenomyosis and fibroids without open surgery. HIFU has become increasingly recognized because it is minimally invasive, requires no incisions, and offers relatively shorter recovery times.
Several facts about HIFU include:
- This technology has been used in more than 37 countries worldwide.
- HIFU has been utilized in the treatment of more than 500,000 patients globally.
- HIFU technology has received recognition from the United States Food and Drug Administration (FDA).
- HIFU devices have also obtained European CE certification as an international standard for medical device safety and quality.
When Should You See a Doctor for Adenomyosis?
It is important for women to routinely consult a doctor if they experience menstrual disorders or pelvic complaints. Adenomyosis sometimes causes no symptoms, so many patients only discover the condition after undergoing further examination. With early detection, treatment can be performed sooner before symptoms increasingly interfere with daily activities.
Approximately 1 in 3 people with adenomyosis experience no signs or symptoms at all. However, others may experience the following complaints:
- Severe menstrual pain (dysmenorrhea)
- Excessive menstrual bleeding
- Abnormal menstrual cycles
- Pelvic pain with or without severe cramps
- Pain during intercourse
- Fertility problems or difficulty becoming pregnant
- Enlarged uterus
- A bloated or full sensation in the abdomen
If you experience the symptoms above, do not hesitate to consult directly with dr. Gracia, who can perform a thorough examination and determine the most appropriate treatment according to your condition.
What Happens If Adenomyosis Is Left Untreated?
The symptoms of adenomyosis may gradually worsen over time if left untreated. One possible complication is anemia due to excessive menstrual bleeding experienced by adenomyosis patients.
Anemia is a condition in which the body lacks iron-rich red blood cells. As a result, patients may feel easily fatigued, weak, and more sensitive to cold temperatures.
Consult Your Adenomyosis Concerns with dr. Gracia at Mandaya Royal Hospital Puri
dr. Gracia Merryane R.G. Rauw, Sp.OG is an obstetrician and gynecologist who treats a wide range of women’s reproductive health issues, from pregnancy care to various gynecological disorders. She completed both her medical degree and obstetrics and gynecology specialist training at the Faculty of Medicine, Sam Ratulangi University.
In her daily practice, dr. Gracia provides pregnancy consultations, fertility programs, contraception services, and lactation consultations. She also performs ovulation induction, vaginal deliveries, and cesarean sections. In the field of gynecology, dr. Gracia has experience in various medical procedures such as laparoscopy, hysterectomy, Pap smear, saline infusion sonography (SIS), and LEEP.
To support treatment using the latest technology, dr. Gracia has also undergone intensive HIFU training at a HIFU center in China. This training was conducted to deepen her expertise in HIFU procedures as a non-invasive therapy for various gynecological conditions without open surgery.
dr. Gracia Merryane R.G. Rauw, Sp.OG practices at Mandaya Royal Hospital Puri on the following schedule:
- Monday: 08.00 AM – 11.00 AM & 01.00 PM – 06.00 PM
- Tuesday: 08.00 AM – 11.00 AM & 01.00 PM – 06.00 PM
- Wednesday: 08.00 AM – 11.00 AM & 01.00 PM – 06.00 PM
- Thursday: 08.00 AM – 11.00 AM & 01.00 PM – 06.00 PM
- Friday: 08.00 AM – 11.00 AM & 01.00 PM – 06.00 PM
- Saturday: 08.00 AM – 11.00 AM & 01.00 PM – 06.00 PM
To make your visit to Mandaya Royal Hospital Puri easier, you can use the WhatsApp Chat feature, Book Appointment service, or the Care Dokter application available on Google Play and the App Store to simplify appointments, view queue numbers, and obtain other complete information.
The information provided on this page is intended for educational and general informational purposes only and does not represent all medical services that may be performed by each doctor. To ensure treatment appropriate to your health condition, direct consultation with the relevant doctor is recommended.
If you have questions, suggestions, or require further information, please contact our call center at 0811-1900-2000.
