Adenomyosis is a condition in which tissue that normally lines the inside of the uterus grows into the muscular wall of the uterus. This condition can cause a variety of symptoms that interfere with daily activities, particularly during menstruation. One of the most common signs of adenomyosis is painful menstrual cramps. In addition, patients may experience heavier-than-normal menstrual bleeding, an enlarged uterus, and a feeling of bloating or fullness in the abdominal area.
Although adenomyosis is often mistaken for a common menstrual problem, it should not be ignored. Without proper treatment, this condition may affect fertility and increase the risk of infertility and miscarriage. Therefore, recognizing the signs and symptoms of adenomyosis early is important so that appropriate treatment can be provided promptly and more serious complications can be prevented.
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Signs of Adenomyosis That Should Not Be Ignored
Approximately one in three women with adenomyosis do not experience any signs or symptoms. However, others may experience the following:
- Painful menstrual cramps or cramps that are more severe than usual (dysmenorrhea)
- Heavy or prolonged menstrual bleeding (menorrhagia)
- Irregular menstrual cycles
- Pelvic pain, with or without severe cramping
- Pain during sexual intercourse (dyspareunia)
- Difficulty conceiving or infertility
- An enlarged uterus
- Bloating or a feeling of fullness in the abdomen (often referred to as an “adenomyosis belly”)
To date, the exact cause of adenomyosis remains unknown. Researchers have not fully understood why some women develop this condition. However, several studies suggest that hormonal factors, genetics, inflammation, and trauma or injury to the uterus may contribute to the development of adenomyosis.
Complications of Untreated Adenomyosis
The symptoms of adenomyosis tend to worsen over time if left untreated. One of the most common complications is anemia caused by excessive and persistent menstrual bleeding. Anemia occurs when the body lacks enough healthy red blood cells to carry oxygen throughout the body. This condition can lead to fatigue, weakness, pale skin, and frequent feelings of coldness.
In addition, untreated adenomyosis may negatively affect fertility. The condition can increase the risk of infertility and miscarriage because the embryo may have difficulty implanting properly into the uterine lining. Over time, adenomyosis may also cause chronic pelvic and abdominal pain, which can interfere with daily activities and reduce a person’s overall quality of life.
Non-Surgical Adenomyosis Treatment with HIFU Technology at Mandaya Royal Hospital Puri
At Mandaya Royal Hospital Puri, adenomyosis can be treated without surgery using HIFU (High-Intensity Focused Ultrasound) technology.
HIFU is an advanced non-invasive treatment technology that can be used to manage adenomyosis without requiring surgery. This method works by focusing high-energy ultrasound waves from outside the body onto adenomyosis tissue within the uterus. The concentrated energy generates heat at the targeted area, destroying abnormal tissue precisely while preserving the surrounding healthy tissue.
The principle behind HIFU is the creation of focused heat in the treatment area. This heat induces coagulative necrosis, a controlled process that destroys abnormal tissue. Because the energy is directed only at the affected tissue, the risk of injury to nearby organs and healthy uterine tissue can be minimized.
The procedure is supported by advanced imaging technology that enables physicians to identify and target adenomyosis lesions with a high level of accuracy. In addition to treating adenomyosis, HIFU may also be used in selected cases of uterine fibroids and other benign gynecological conditions. As a non-invasive treatment approach, HIFU offers an effective alternative to major surgery.
Advantages of HIFU for Adenomyosis Treatment
Some of the key benefits of HIFU for patients with adenomyosis include:
1. No Incisions and No Surgery
HIFU is performed without any surgical incisions, meaning there are no visible scars. This helps reduce the risk of infection, bleeding, and complications commonly associated with conventional surgery.
2. No Radiation Exposure
HIFU uses ultrasound energy to destroy targeted tissue without involving radiation or radioactive materials, making it a more comfortable treatment option for many patients.
3. No General Anesthesia Required
Most HIFU procedures can be performed with mild sedation or medication to minimize discomfort. As a result, patients do not need to undergo general anesthesia.
4. Helps Preserve the Uterus
Because the ultrasound energy is focused specifically on adenomyosis tissue, healthy uterine tissue can be preserved. This is particularly beneficial for women who wish to maintain their reproductive potential.
5. Faster Recovery Time
Without surgical wounds or open procedures, recovery after HIFU is generally faster, allowing patients to return to their daily activities within a relatively short period.
6. Helps Relieve Adenomyosis Symptoms
By destroying the adenomyosis tissue responsible for symptoms, HIFU can help reduce severe menstrual pain, excessive menstrual bleeding, and pelvic discomfort commonly experienced by women with adenomyosis.
Adenomyosis Specialists at Mandaya Royal Hospital Puri
In addition to offering various treatment options for adenomyosis, choosing the right doctor is also an important factor in achieving optimal treatment outcomes. At Mandaya Royal Hospital Puri, patients can consult with experienced Obstetricians and Gynecologists who specialize in managing a wide range of women’s reproductive health conditions, including adenomyosis.
Below are the profiles, areas of expertise, and practice schedules of adenomyosis specialists at Mandaya Royal Hospital Puri:
1. dr. Gracia Merryane R.G. Rauw, Sp.OG
dr. Gracia Merryane R.G. Rauw, Sp.OG is an Obstetrician and Gynecologist with expertise in women’s reproductive health, pregnancy care, and the management of various reproductive system disorders. She completed both her medical degree and Obstetrics & Gynecology specialist training at the Faculty of Medicine, Sam Ratulangi University.
In her clinical practice, dr. Gracia provides a wide range of women’s health services, including routine gynecological examinations, fertility planning, and obstetric and gynecological procedures. Her services include lactation consultations, family planning consultations, ovulation induction, labor induction, cesarean delivery, hysterectomy, laparoscopy, sterilization procedures, Pap smears, Saline Infusion Sonohysterography (SIS), and LEEP procedures for cervical abnormalities.
dr. Gracia Merryane R.G. Rauw, Sp.OG can be found at Mandaya Royal Hospital Puri on:
- Monday: 08.00 – 11.00 WIB & 13.00 – 18.00 WIB
- Tuesday: 08.00 – 11.00 WIB & 13.00 – 18.00 WIB
- Wednesday: 08.00 – 11.00 WIB & 13.00 – 18.00 WIB
- Thursday: 08.00 – 11.00 WIB & 13.00 – 18.00 WIB
- Friday: 08.00 – 11.00 WIB & 13.00 – 18.00 WIB
- Saturday: 08.00 – 11.00 WIB & 13.00 – 18.00 WIB
2. dr. Doddy F.P. Gultom, Sp.OG (K), M.Kes
dr. Doddy F.P. Gultom, Sp.OG (K), M.Kes is a Consultant Obstetrician and Gynecologist with extensive experience in women’s reproductive health, pregnancy care, and complex gynecological conditions. He earned his medical degree from Trisakti University, completed his specialist training at Hasanuddin University, and obtained his consultant qualification from the University of Indonesia.
His services include preconception counseling, fetal assessment during pregnancy, contraceptive consultations, and management of pregnancy-related complications. dr. Doddy is also experienced in treating various benign gynecological disorders and performing minimally invasive procedures that help promote faster recovery.
dr. Doddy F.P. Gultom, Sp.OG (K), M.Kes can be found at Mandaya Royal Hospital Puri on:
- Tuesday: 17.00 – 20.00 WIB
- Thursday: 13.00 – 16.00 WIB
- Saturday: 08.00 – 12.00 WIB
3. Dr. dr. Unedo Hence Markus Sihombing, Sp.OG, Subsp. Onk
Dr. dr. Unedo Hence Markus Sihombing, Sp.OG, Subsp. Onk is an Obstetrician and Gynecologist with a subspecialty in Gynecologic Oncology. He specializes in diagnosing and treating cancers affecting the female reproductive system, including cervical cancer, ovarian cancer, uterine cancer, vulvar cancer, and vaginal cancer.
In addition to treating gynecologic cancers, Dr. Unedo is experienced in managing benign gynecological conditions such as uterine polyps and tumors. He completed his medical education at Sriwijaya University and Sebelas Maret University before pursuing subspecialty training in Gynecologic Oncology and earning a doctoral degree from the University of Indonesia. His approach focuses on comprehensive, well-planned, and patient-centered care.
Dr. dr. Unedo Hence Markus Sihombing, Sp.OG, Subsp. Onk can be found at Mandaya Royal Hospital Puri on:
- Tuesday: 16.00 – 20.00 WIB
- Thursday: 16.00 – 20.00 WIB
- Saturday: 13.00 – 16.00 WIB
4. dr. Edward Tony Ngantung, Sp.OG
dr. Edward Tony Ngantung, Sp.OG is an Obstetrician and Gynecologist who provides comprehensive reproductive healthcare services for women. His practice covers fertility planning, pregnancy monitoring, and the management of a wide range of gynecological conditions.
His expertise includes ultrasound examinations, prenatal diagnosis, contraceptive counseling, and the management of pregnancy-related complications. He completed his medical education at Sam Ratulangi University, followed by specialist training at San Juan de Dios Educational Foundation and an Obstetrics and Gynecology adaptation program at Udayana University.
dr. Edward Tony Ngantung, Sp.OG can be found at Mandaya Royal Hospital Puri on:
- Monday: 14.00 – 16.30 WIB
- Tuesday: 11.00 – 14.00 WIB
- Wednesday: 17.00 – 20.00 WIB
- Thursday: 17.00 – 20.00 WIB
- Friday: 10.00 – 14.00 WIB
- Saturday: 09.00 – 13.00 WIB
5. dr. Erik Sutandi, Sp.OG
dr. Erik Sutandi, Sp.OG is an Obstetrician and Gynecologist with expertise in women’s reproductive health, fertility care, pregnancy management, and gynecological disorders. He has extensive experience in helping patients with fertility concerns, hormonal imbalances, pregnancy care, and childbirth.
He earned his medical degree from Maranatha Christian University in Bandung and completed his Obstetrics and Gynecology specialty training at San Juan De Dios Hospital in Manila, Philippines. He further enhanced his expertise through a residency adaptation program at Sanglah General Hospital and a fellowship in reproductive gynecologic endoscopy and fertility.
dr. Erik Sutandi, Sp.OG can be found at Mandaya Royal Hospital Puri on:
- Monday: 17.00 – 20.00 WIB
- Wednesday: 14.00 – 16.00 WIB
- Friday: 17.00 – 20.00 WIB
- Saturday: 14.00 – 16.00 WIB
6. dr. Rahmadsyah, Sp.OG(K)FER, M.Kes, MARS
dr. Rahmadsyah, Sp.OG(K)FER, M.Kes, MARS is a Consultant Obstetrician and Gynecologist specializing in Fertility and Reproductive Endocrinology. His practice focuses on fertility evaluations, pregnancy programs, and assisted reproductive technologies to help couples achieve pregnancy.
He completed his medical education at Padjadjaran University, followed by specialist training and a Master of Health degree at Hasanuddin University. He later earned a Master of Hospital Administration from the University of Indonesia.
dr. Rahmadsyah, Sp.OG(K)FER, M.Kes, MARS can be found at Mandaya Royal Hospital Puri on:
- Monday: 13.00 – 16.00 WIB
- Tuesday: 13.00 – 16.00 WIB
- Wednesday: 13.00 – 16.00 WIB
- Thursday: 13.00 – 16.00 WIB
- Friday: 13.00 – 16.00 WIB
- Saturday: 13.00 – 16.00 WIB
7. dr. Sigit Pradono Diptoadi, Sp.OG
dr. Sigit Pradono Diptoadi, Sp.OG is an Obstetrician and Gynecologist experienced in supporting patients throughout their fertility journey, pregnancy, and childbirth. He also treats a variety of gynecological conditions with personalized treatment plans tailored to each patient’s needs.
He completed his medical education at Atma Jaya Catholic University of Indonesia and pursued his Obstetrics and Gynecology specialty training at Ramon Magsaysay Memorial Medical Center, University of the East.
dr. Sigit Pradono Diptoadi, Sp.OG can be found at Mandaya Royal Hospital Puri on:
- Monday: 17.00 – 20.00 WIB
- Friday: 17.00 – 20.00 WIB
- Saturday: 17.00 – 20.00 WIB
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 mobile application available on Google Play and the App Store. These services help patients schedule visits, check queue numbers, and access additional information.
The information provided on this page is intended for educational and general informational purposes only and may not reflect all medical services performed by each physician. To determine the most appropriate treatment for your condition, please consult directly with the relevant doctor.
If you have any questions, suggestions, or require further information, please contact our call center at 0811-1900-2000.
