Adenomyosis is a condition in which tissue similar to the inner lining of the uterus (endometrium) grows into the muscular wall of the uterus (myometrium). This can cause the uterus to thicken and enlarge, sometimes up to two to three times its normal size. Adenomyosis often leads to symptoms such as painful menstruation, heavy or prolonged menstrual bleeding with blood clots, and pain in the abdominal or pelvic area.
Many women are unaware that they have adenomyosis because the condition does not always cause noticeable symptoms. To date, the exact prevalence of adenomyosis is not clearly known. However, it is more commonly found in women over the age of 40 and those who have undergone uterine procedures. Additionally, about 2–5% of adolescents who experience severe menstrual pain are known to have adenomyosis.
At Mandaya Royal Hospital Puri, adenomyosis can be treated using High-Intensity Focused Ultrasound (HIFU), a non-surgical and incision-free procedure.
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What are the symptoms of adenomyosis?
Approximately 1–3 individuals with adenomyosis may not experience any symptoms. However, others may develop:
- Severe menstrual pain (intense cramps)
- Heavy menstrual bleeding
- Irregular menstrual cycles
- Pelvic pain, with or without severe cramps
- Pain during sexual intercourse
- Difficulty getting pregnant (infertility)
- Enlarged uterus
- A feeling of bloating or fullness in the abdomen
What causes adenomyosis?
The exact cause of adenomyosis remains unknown. However, several factors are believed to contribute, including hormonal influences, genetic predisposition, inflammation, and a history of uterine injury.
Risk factors for adenomyosis include:
- Age between 40–50 years
- Having given birth at least once
- History of uterine procedures, such as fibroid removal surgery or curettage
- Having endometriosis
However, adenomyosis is increasingly being diagnosed in women in their 30s, particularly those experiencing abnormal bleeding or severe menstrual pain.
What are the complications of adenomyosis?
Symptoms of adenomyosis tend to worsen over time. Heavy menstrual bleeding can increase the risk of anemia, a condition in which the body lacks sufficient red blood cells containing iron. This may cause fatigue and increased sensitivity to cold.
If left untreated, adenomyosis may also increase the risk of infertility or miscarriage, as it can make it difficult for an embryo to implant in the uterine lining.
Additionally, the condition can cause chronic pelvic and abdominal pain that interferes with daily activities.
Adenomyosis itself does not cause cancer and does not develop into cancer.
Adenomyosis treatment with HIFU at Mandaya Royal Hospital Puri
Mandaya Royal Hospital Puri offers HIFU technology for the treatment of adenomyosis. HIFU is a medical procedure that uses high-intensity focused sound waves to treat various conditions, including adenomyosis. Unlike ultrasound imaging (USG), which is used for diagnostic purposes, HIFU utilizes focused ultrasound waves to destroy targeted tissue.
This procedure is minimally invasive as it does not require any incisions, making it a more comfortable treatment alternative for patients.
The mechanism of HIFU can be compared to a magnifying glass focusing sunlight onto a single point. The ultrasound waves are precisely directed to the target area, generating heat that destroys abnormal tissue without damaging surrounding healthy tissue. These waves can also penetrate the skin without causing injury. During the procedure, doctors typically use MRI or ultrasound guidance to ensure accuracy, safety, and precision.
Advantages of HIFU include:
- No incisions and no radiation
- High precision targeting without damaging surrounding healthy tissue
- Usually performed as an outpatient procedure with a relatively fast recovery time
- Lower risk of side effects compared to more invasive methods such as open surgery, chemotherapy, or radiation therapy
HIFU specialist team at Mandaya Royal Hospital Puri
Mandaya Royal Hospital Puri is supported by a team of experienced obstetricians and gynecologists in managing adenomyosis, including with HIFU technology. Below are the doctors you can consult:
1. dr. Gracia Merryane R.G Rauw, Sp.OG
Dr. Gracia Merryane R.G Rauw is an obstetrician and gynecologist focusing on women’s reproductive health, pregnancy, and various gynecological conditions. She completed her medical and specialist education at the Faculty of Medicine, Sam Ratulangi University. Her services include routine check-ups, fertility programs, lactation consultation, family planning, ovulation induction, normal and cesarean delivery, as well as procedures such as hysterectomy, laparoscopy, Pap smear, SIS, and LEEP.
Schedule:
- Monday: 8:00 AM – 11:00 AM & 1:00 PM – 6:00 PM
- Tuesday: 8:00 AM – 11:00 AM & 1:00 PM – 6:00 PM
- Wednesday: 8:00 AM – 11:00 AM & 1:00 PM – 6:00 PM
- Thursday: 8:00 AM – 11:00 AM & 1:00 PM – 6:00 PM
- Friday: 8:00 AM – 11:00 AM & 1:00 PM – 6:00 PM
- Saturday: 8:00 AM – 11:00 AM & 1:00 PM – 6:00 PM
2. dr. Doddy F.P. Gultom, Sp.OG (K), M.Kes
Dr. Doddy F.P. Gultom is a consultant obstetrician and gynecologist with extensive experience in women’s and reproductive health. He graduated from Trisakti University, continued his specialist training at Hasanuddin University, and earned his consultant degree from the University of Indonesia. His services include pre-pregnancy care, prenatal diagnosis, fetal imaging, contraceptive counseling, management of pregnancy complications, benign gynecological disorders, and minimally invasive procedures.
Schedule:
- Tuesday: 5:00 PM – 8:00 PM
- Thursday: 1:00 PM – 4:00 PM
- Saturday: 8:00 AM – 12:00 PM
3. Dr. dr. Unedo Hence Markus Sihombing, Sp.OG, Subsp. Onk
Dr. Unedo Hence Markus Sihombing is an obstetrician and gynecologist with a subspecialty in oncology. He studied at Sriwijaya University and Sebelas Maret University and obtained his consultant and doctoral degrees from the University of Indonesia. He has experience in managing various gynecological cancers such as cervical, uterine, and ovarian cancer, as well as benign conditions like polyps and uterine tumors, with a careful and patient-centered approach.
Schedule:
- Tuesday: 4:00 PM – 8:00 PM
- Thursday: 4:00 PM – 8:00 PM
- Saturday: 1:00 PM – 4:00 PM
4. dr. Edward Tony Ngantung, Sp.OG
Dr. Edward Tony Ngantung is an obstetrician and gynecologist who provides comprehensive women’s healthcare services. He completed his medical degree at Sam Ratulangi University and pursued his specialization at San Juan de Dios Educational Foundation, followed by an adaptation program at Udayana University. His services include preconception care, prenatal diagnosis, fetal imaging, contraceptive consultation, pregnancy complication management, benign gynecological conditions, and minimally invasive procedures.
Schedule:
- Monday: 2:00 PM – 4:30 PM
- Tuesday: 11:00 AM – 2:00 PM
- Wednesday: 5:00 PM – 8:00 PM
- Thursday: 5:00 PM – 8:00 PM
- Friday: 10:00 AM – 2:00 PM
- Saturday: 9:00 AM – 1:00 PM
5. dr. Erik Sutandi, Sp.OG
Dr. Erik Sutandi is an obstetrician and gynecologist focusing on women’s reproductive health, pregnancy, and hormonal disorders. He completed his education at Maranatha Christian University, continued his specialization in Manila, and pursued adaptation and fellowship programs in reproductive gynecologic endoscopy and fertility. His services include pregnancy consultation, fertility programs, lactation, ovulation induction, delivery, fertility and hormonal evaluations, as well as ultrasound and prenatal testing.
Schedule:
- Monday: 5:00 PM – 8:00 PM
- Wednesday: 2:00 PM – 4:00 PM
- Friday: 5:00 PM – 8:00 PM
- Saturday: 2:00 PM – 4:00 PM
6. dr. Rahmadsyah, Sp.OG(K)FER, M.Kes, MARS
Dr. Rahmadsyah is an obstetrician and gynecologist with a subspecialty in fertility, focusing on pregnancy programs and fertility issues. He studied at Padjadjaran University, completed his specialist and master’s degree at Hasanuddin University, and earned a Master of Hospital Management from the University of Indonesia. His services include fertility consultations, ovulation induction, IVF programs, pregnancy care, and various gynecological procedures.
Schedule:
- Monday to Saturday: 1:00 PM – 4:00 PM
7. dr. Sigit Pradono Diptoadi, Sp.OG
Dr. Sigit Pradono Diptoadi is an obstetrician and gynecologist who completed his education at the Faculty of Medicine, Atma Jaya Catholic University of Indonesia, and continued his residency at Ramon Magsaysay Memorial Medical Center, University of the East. He has experience in fertility consultations, ovulation induction, pregnancy care, delivery, 4D ultrasound examinations, and management of various gynecological conditions.
Schedule:
- Monday: 5:00 PM – 8:00 PM
- Friday: 5:00 PM – 8:00 PM
- Saturday: 5:00 PM – 8:00 PM
To make your visit easier, you can use the WhatsApp Chat feature, Book Appointment service, or the Care Dokter app (available on Google Play and the App Store) to manage appointments, check queue numbers, and access complete information.
*The information on this page is intended for educational purposes and general overview only, and does not represent the full scope of medical services provided by each doctor. For proper diagnosis and treatment, it is recommended to consult directly with a doctor.
If you have questions, suggestions, or need further information, please contact our call center at 0811-1900-2000.
