Treating Adenomyosis With Laparoscopy – Antai Hospital

Overview

Adenomyosis can lead to recurrent miscarriage because the lesions grown onto the middle layer of the uterine wall (myometrium) competes for space, nutrients, and blood with the embryo, all of which are essential to its development. Laparoscopic surgery can safely remove the lesions on the myometrium. However, the best treatment method is to have a thorough diagnosis to ensure that you are free from complications of Adenomyosis. If you do have complications, you should receive treatment for those conditions, too; otherwise, you will still continue to miscarry. 

Antai hospital uses 3D laparoscopy to diagnose and treat Adenomyosis. As a specialist in recurrent miscarriage, we also check for all the possible complications and provide patients with corresponding treatment to ensure that their next pregnancy will be successful. 

How Adenomyosis Leads to Miscarriage

Adenomyosis is where endometrial lesions are abnormally grown onto the myometrium. Every month, the displaced lesions continue to thicken and bleed. Over time, the lesions will accumulate, leading to scar lesions and adhesion formation deep inside the myometrium. As the lesions continue to thicken, your uterus will become enlarged; it will become big, round, and hard (ball-like). 

Adenomyosis will significantly increase your likelihood of miscarriage because it will lead to insufficient uterine blood flow. As scar formation and adhesions do not transport blood, it will obstruct uterine blood flow as a whole. The displaced lesions also compete with the embryo for blood, nutrients, and space with the embryo. All these will lead to the underdevelopment of the embryo. Gradually, the embryo will not be able to sustain itself, and a miscarriage will occur. If left untreated, the greater the risk for complications and the more complex the treatment will become. As a result, you will most likely suffer from recurrent miscarriages and even infertility for more severe cases.

Complications of Adenomyosis

• Anti-embryonic Antibodies

The most prevalent complication of Adenomyosis is a reproductive immunological disorder caused by anti-embryonic antibodies in the maternal body. Anti-embryonic antibodies are mostly produced in the maternal body during an induced abortion. Many patients with Adenomyosis will go through miscarriages and undergo multiple induced abortions to ensure that all pregnancy lesions are cleared from the uterus and produce anti-embryonic antibodies as a result. 

Anti-embryonic antibodies will lead to recurrent miscarriages as it attacks the embryo in every pregnancy. Hence, patients must undergo an immunity treatment only available at Antai hospital, on top of adenomyosis treatment.   

• Chocolate Cysts

Patients with Adenomyosis might also have chocolate cysts on the ovaries. Should chocolate cysts be spotted during the surgery for Adenomyosis, the chocolate cysts will be removed in the process as well. Afterward, patients will require progesterone supplementation, which is essential for proper implantation and creating a hospital environment for the embryo to grow. Otherwise, a miscarriage will still occur due to poor ovarian function.

Indicators of Adenomyosis

The primary indicator of Adenomyosis is dysmenorrhea, where patients will suffer from extreme period pains. It is a result of a lack of oxygen to the uterus due to insufficient uterine blood flow.

Most patients will also have a history of recurrent early miscarriage. Before miscarrying, the first symptom is slow-rising hCG levels, where it was not doubling every three days as expected, despite normal progesterone levels. Once progesterone levels start to drop, then an inevitable miscarriage will soon occur.  

B-scan ultrasonography can directly indicate if the patient has Adenomyosis. 

Antai Hospital’s Adenomyosis Treatment 

Adenomyosis should be treated before pregnancy because the risk of miscarriage is too high, and you cannot receive treatment if you are pregnant. Unfortunately, most of such pregnancies will end up in an inevitable miscarriage because it is an organic disease. Hence, prevention is always better than cure, and a thorough check should be done, especially if you have had a miscarriage before. 

However, please do not be too discouraged if you do miscarry because Antai hospital has an effective treatment for Adenomyosis.

1. Antai hospital’s physicians will first accurately spot all displaced lesions using laparoscopic ultrasonography.
2. The physicians will remove all displaced lesions via 3D laparoscopic surgery. 
3. The physicians will sew back the sites of removal using an absorbable suture thread. 

Recovery

The uterus might be smaller after the surgery. However, the uterus is made of smooth muscles that will grow back to a standard size 6-12 months after the surgery. At most, the recovery will take two years for severe cases. Hence, patients should be able to get pregnant after half a year to 2 years, depending on the scale of the surgery. 

There is no need to worry about any uterine ruptures after the surgery because the smooth muscles can self-regenerate. The absorbable suture thread is made to withstand high strain and forces to prevent any rupture. 

Antai hospital’s “414” Surgical Treatment System

Antai hospital follows a “414” therapy system for Adenomyosis (non-pregnant women)

4 Yesses: 

• Yes to operating regardless of size
• Yes to operating regardless of location
• Yes to operating regardless of quantity
• Yes to operating regardless of patient age

1 Always:

• Always remove all displaced lesions with 3D laparoscopy

4 Nos:

• No hysterectomy 
• No external blood transfusion 
• No relapse 
• No open surgery

Antai hospital’s mission is to treat recurrent miscarriages, hence our philosophy is to protect all uteruses against hysterectomy, unless it is cancerous. With our philosophy, technology, thorough diagnosis, and a team of highly skilled surgeons, we are confident to provide patients with contractual treatment of a full refund policy for unsuccessful treatment. 

Antai hospital specializes in the treatment of recurrent miscarriages, and so far, we have helped over 34,000 couples finally have their rainbow baby.

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Trust in Antai Hospital and trust in yourself, your pregnancy is our priority.