Dr. Bagaria explains how adenomyosis may be treated when there is hope for the preservation of fertility.
Dr. Madhu Bagaria, MD, FACOG is board-certified in Obstetrics and Gynecology and Laparoscopic Surgery. As an expert in women’s health, she has extensive experience treating pelvic pain conditions, abnormal uterine bleeding, and endometriosis. Dr. Bagaria believes in listening to her patients, understanding their experiences and their individual needs, and working with them on a treatment plan that works best for their condition and lifestyle.
At Pelvic Rehabilitation Medicine™, we believe that the millions of women and men who suffer from pelvic pain should have access to care that provides relief. We don’t believe “a glass of wine will fix it” or that “it’s all in your head”. We will never abandon you – and from leadership to the front office to every pelvic pain specialist you meet, so much of our team has been in your shoes and believes the pelvic pain patient deserves better. This belief is what unifies us all at PRM.
Since 2017, PRM has provided an innovative solution to a health crisis that affects 15% of women and 10% of men. Persistent pelvic pain is often overlooked, untreated, and misguided. At PRM, our mission is to decrease the time patients are suffering from pelvic pain symptoms.
We offer a proprietary, simple, office-based procedure to treat the symptoms of chronic pelvic pain. The PRM Protocol™ consists of a series of pelvic nerve and muscle treatments to directly target inflammation in the pelvis and nerve pain. Depending on the condition causing your pelvic pain, other modalities may be needed in addition to our treatment.
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Hello, everyone. Today, let's talk about how do we tackle adenomyosis when fertility is a desired outcome. In this case, we have two scenarios. One is a focal disease. Think of it as a isolated troublemaker. So they form a focal, concentration of the disease and can form adenomyoma, and this can be removed surgically.
Just like when we remove the fibroids from the uterus. And the second scenario is when it microscopic invaders all through the muscle wall of the uterus and it is called an infiltrative pattern. In this scenario it gets trickier because we don't have a that define disease.
So the goal is to debulk the muscle wall of the uterus as much as possible with the hope to provide relief in terms of pain and bleeding. In these cases, also, some people can achieve pregnancy. About 60%, they can achieve pregnancy, but it does have its own implication as scar rupture when which can happen during pregnancy.
Surgery is not an option for everyone. It is trickier because there is not good plane between the disease portion of the disease and the muscle wall of the uterus. So discuss this with your physician when you see them.
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