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. 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
2. 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
3. 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
4. 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
5. 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
6. 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
7. 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
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.
