Adenomyosis is a condition in which the tissue that normally lines the inside of the uterus (endometrium) grows into the muscular wall of the uterus. This condition can cause various symptoms, including severe menstrual pain, excessive menstrual bleeding, abdominal fullness or enlargement, chronic pelvic pain, and fertility problems or infertility. In some women, adenomyosis can significantly affect quality of life due to recurring pain during every menstrual cycle.
Recently, dr. Rahmadsyah, Sp.OG(K)FER, M.Kes, MARS, an obstetrics and gynecology (obgyn) fertility consultant at Mandaya Royal Puri Hospital, treated a 6.2 cm adenomyosis case using High Intensity Focused Ultrasound (HIFU) technology. After the procedure, the patient’s adenomyosis successfully shrank to 4.8 cm with a tissue necrosis rate reaching 80–90%.
The patient had previously experienced infertility and difficulty conceiving due to adenomyosis. Now, within the next 3 to 4 months, the patient is preparing to begin a pregnancy program with dr. Rahmadsyah.
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dr. Rahmadsyah Explains the Patient’s Adenomyosis Condition
According to dr. Rahmadsyah, the patient came with complaints of prolonged menstruation and severe menstrual pain. In addition, the patient had experienced fertility problems for approximately 10 years due to adenomyosis. This condition made it difficult for the patient to conceive despite undergoing pregnancy programs for years.
“Today, we performed a HIFU procedure, which stands for High Intensity Focused Ultrasound, on a patient experiencing prolonged menstruation, severe pain during menstruation, and infertility for 10 years,” explained dr. Rahmadsyah.
During the procedure, the patient underwent incision-free HIFU treatment in a prone position. This technology combines ultrasound and MRI guidance to help doctors accurately identify the location and size of the adenomyosis before ultrasound energy is directed to the target tissue. In this patient, the adenomyosis measured 6.2 cm before treatment.
“It turns out the patient responded very well. The adenomyosis, which initially measured 6.2 cm, immediately decreased to 4.8 cm, with tissue necrosis reaching 80–90%,” said dr. Rahmadsyah.
After the HIFU procedure, the patient is scheduled to begin a pregnancy program approximately 3–4 months later once the uterine condition improves.
Learn About HIFU, From the Procedure to Its Advantages
HIFU is a non-surgical treatment technology that uses high-intensity ultrasound waves to destroy abnormal tissue inside the body without surgery or skin incisions. The technology works by focusing ultrasound energy on adenomyosis or fibroids, generating heat of approximately 60–90 degrees Celsius to gradually damage abnormal cells.
After the procedure, the damaged tissue will naturally be absorbed by the body over the following weeks to months. Simply put, the mechanism of HIFU can be compared to a magnifying glass focusing sunlight on a single point to create heat.
Besides eliminating the need for surgery and incisions, HIFU also offers several advantages in adenomyosis treatment, including:
- Post-procedure pain is generally milder compared to conventional surgery.
- The therapy uses high-intensity ultrasound waves without radiation exposure.
- Ultrasound waves work precisely and directly on the targeted tissue.
- The treatment helps preserve the uterus, potentially maintaining reproductive function.
- Since no open surgery is involved, the risk of bleeding is relatively lower.
- Recovery time tends to be faster, reducing the need for prolonged hospitalization.
- Patients can usually return to daily activities more quickly after the procedure.
HIFU Has Been Used Worldwide to Treat Hundreds of Thousands of Cases
Although HIFU may still be unfamiliar to some people in Indonesia, this technology has already been widely used in many countries as a non-surgical treatment option for fibroids and adenomyosis.
The procedure has become increasingly popular because it is minimally invasive, does not require incisions, and offers a relatively faster recovery period compared to conventional surgery.
Here are several facts about HIFU technology:
- HIFU has been used in more than 37 countries worldwide, including the United Kingdom, Spain, China, Germany, and Italy.
- The technology has been used to treat more than 500,000 patients globally.
- HIFU has received recognition from the United States Food and Drug Administration (FDA).
- HIFU devices have also obtained European CE certification as an international medical device safety and quality standard.
When Should You Consult dr. Rahmadsyah About Adenomyosis?
It is important to consult a doctor immediately if you experience abnormal menstrual symptoms or prolonged pelvic pain. Proper treatment can help reduce symptoms while preventing adenomyosis from affecting quality of life and fertility.
Around 1 in 3 women with adenomyosis may not experience any signs or symptoms. However, others may experience symptoms such as:
- Severe menstrual pain (dysmenorrhea)
- Heavy menstrual bleeding
- Abnormal menstrual cycles
- Pelvic pain with or without severe cramps
- Pain during sexual intercourse
- Infertility or difficulty getting pregnant
- Enlarged uterus
- Bloating or abdominal fullness
Profile and Practice Schedule of dr. Rahmadsyah at Mandaya Royal Puri Hospital
dr. Rahmadsyah, Sp.OG(K)FER, M.Kes, MARS is an obstetrics and gynecology fertility consultant specializing in male and female fertility problems. Supported by education and training from leading institutions, he is experienced in helping couples dealing with infertility through comprehensive, modern, and evidence-based medical approaches.
In daily practice, dr. Rahmadsyah handles various pregnancy program evaluations and procedures, including ovulation induction, hormonal examinations, fertility analysis, and treatment of reproductive disorders. Supported by advanced reproductive technology, he aims to provide personalized treatment to improve pregnancy success rates.
In addition to specializing in fertility, dr. Rahmadsyah has also completed specialized HIFU training at a HIFU Center in China and obtained official certification. This expertise supports his ability to treat fibroids and adenomyosis using minimally invasive, non-surgical approaches.
dr. Rahmadsyah, Sp.OG(K)FER, M.Kes, MARS practices at Mandaya Royal Puri Hospital on the following schedule:
- Monday: 1:00 PM – 4:00 PM
- Tuesday: 1:00 PM – 4:00 PM
- Wednesday: 1:00 PM – 4:00 PM
- Thursday: 1:00 PM – 3:00 PM
- Friday: 8:00 AM – 12:00 PM
- Saturday: 10:00 AM – 1:00 PM
To make your visit to Mandaya Royal Hospital Puri more convenient, 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, queue monitoring, and access other complete information.
The information provided on this page is intended for educational and general informational purposes only and may not reflect the full range of medical services provided by each doctor. To ensure appropriate treatment based on your health condition, direct consultation with the relevant doctor is recommended.
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