Adenomyosis Case Studies
Sydney Fibroid Clinic has aided a number of women in achieving adenomyosis relief, enjoying regular activities, and leading an ordinary lifestyle.Read our case studies below.
Adenomyosis Case Studies
Case Study 1
A 45-year-old optometrist suffered from severe menstrual bleeding and period pain. Her pre-UAE MRI confirmed adenomyosis, showing multiple bright foci in the wall of the uterus – signifying migration of endometrial tissue from the lining of the cavity. Her post-UAE MRI showed disappearance of the bright foci. Her periods are now much lighter and her pain has been markedly reduced.
Case Study 2
A 28-year-old mother of three young children suffered severe menstrual bleeding, tiredness, exhaustion, and incapacitating pain for a few days each month. She had tried and failed NSAIDs, and was changing super absorbent pads every two hours whilst on tranexamic acid. Mirena IUD was not tolerated, due to acne and continuous spotting. Throughout this ordeal, her uterus was reported as normal on ultrasound.
Because of her severe symptoms, a MRI was eventually performed. It showed thickening of the junctional zone, confirming adenomyosis and she was treated with uterine artery embolisation. A MRI six months post-UAE showed normalisation of the junctional zone. She now has very light, regular periods, her pain is almost completely gone, she is energetic and is able to bike ride with her children. She is very happy with the significant improvement of her quality of life.
Case Study 3
A 52-year-old horse breeder with three adult children suffered heavy menstrual bleeding, requiring tampon and pad changes every 30 – 60 minutes. Bleeding occurred for as long as three weeks each month, and cramping period pain left her house-bound and unable to work during periods. Her ultrasound reported a small fibroid in her uterine wall, though it was not enough to explain the severe symptoms.
A MRI discovered an area of adenomyosis as the real culprit and she underwent UAE to achieve adenomyosis relief. Her post-embolisation MRI at six months showed a dark area of scar tissue. All symptoms resolved. As a very active woman she did not want to have a hysterectomy, and was glad to have chosen UAE as the less invasive option.
Case Study 4
A 45-year-old insurance broker suffered from severe heavy menstrual bleeding and period pain for many years. Tranexamic acid and progestogen were ineffective for her symptoms. She expelled two Mirena IUDs and failed endometrial ablation. Her MRI showed a large area of adenomyosis in the back wall of her uterus and she decided to undergo uterine artery embolisation. Six months post-UAE, her MRI showed scarring of focal adenomyosis and shrinkage from 272ml to 115ml. Her uterine wall is now normal and viable and her periods are light and no longer painful.