Adenomyosis in Gangnam

What is Adenomyosis?

Adenomyosis occurs when the inner lining of the uterus (endometrium) invades the myometrium (muscular layer). This can cause the uterus to become enlarged, tender, and inflamed—often resulting in distressing menstrual symptoms.

Common symptoms include:

• Severe menstrual cramps
• Heavy or prolonged menstrual bleeding
• Chronic pelvic pain
• Pain during intercourse
• Bloating or pressure in the lower abdomen

While adenomyosis shares similarities with endometriosis, the tissue in adenomyosis grows inside the uterine muscle, not outside the uterus.

How is Adenomyosis Diagnosed in Korea?

Diagnosis can be challenging, especially because symptoms overlap with other gynecological conditions. However, Korean clinics are equipped with advanced imaging technology and skilled specialists for accurate diagnosis.

Common diagnostic methods include:

• Pelvic examination: May reveal an enlarged, tender uterus
• Transvaginal ultrasound: Often the first imaging test performed
• MRI scan: Offers a more detailed view of the uterine wall and is highly accurate for adenomyosis
• Histological confirmation (rare): Usually done only after surgery like hysterectomy

Many Gangnam-area clinics offer consultations in English and comprehensive diagnostic packages tailored for both locals and international patients.

Treatment Options for Adenomyosis in Korea

Treatment depends on the severity of symptoms, patient age, and reproductive goals. Clinics in Korea provide both conservative and surgical options:

Medication-Based Treatments

• Hormonal therapy: Birth control pills, progesterone IUDs (e.g., Mirena), GnRH agonists to reduce menstrual flow and pain
• NSAIDs: Pain relievers like ibuprofen for cramp relief
• Tranexamic acid: To reduce heavy menstrual bleeding

Minimally Invasive Procedures

• Uterine artery embolization (UAE): Blocks blood flow to the affected uterine area, shrinking adenomyosis
• High-intensity focused ultrasound (HIFU): A non-invasive technique that destroys adenomyosis tissue using targeted ultrasound

Surgical Options

• Adenomyomectomy: Removal of the affected part of the uterus (fertility-sparing)
• Hysterectomy: Complete removal of the uterus (used when other treatments fail or in severe cases)

Korean hospitals are globally recognized for their minimally invasive surgical techniques, fast recovery times, and high success rates.

Cost of Adenomyosis Treatment in Korea

Costs vary based on the treatment type and clinic, but Korea offers competitive prices with world-class care. Here's a general breakdown in KRW:

• Initial consultation: ₩30,000–₩60,000
• Ultrasound scan: ₩70,000–₩150,000
• MRI scan: ₩300,000–₩600,000
• Hormonal therapy (monthly): ₩30,000–₩150,000
• HIFU or UAE procedures: ₩3,000,000–₩7,000,000
• Surgery (adenomyomectomy/hysterectomy): ₩4,000,000–₩10,000,000

Some procedures are covered by Korean National Health Insurance for residents, and many clinics offer transparent pricing and assistance for international patients.

Top FAQs About Adenomyosis

• Is adenomyosis the same as endometriosis?
  No. Both involve abnormal endometrial tissue growth, but adenomyosis affects the uterine muscle, while endometriosis involves tissue growing outside the uterus.
• Can adenomyosis affect fertility?
  Yes, in some cases it can make it harder to conceive or increase miscarriage risk, but many women with adenomyosis do go on to have healthy pregnancies.
• Will I need a hysterectomy?
  Not necessarily. Many patients manage symptoms successfully with medication or minimally invasive procedures. Hysterectomy is typically a last resort.
• Is adenomyosis permanent?
  Symptoms often improve after menopause. Treatment focuses on symptom management and preserving fertility when desired.

How to Prepare for Your Gynecology Visit

• Keep a symptom diary including pain levels, menstrual flow, and cycle regularity
• Bring a list of medications or past treatments
• Be clear about your fertility plans
• Don’t hesitate to ask about all available treatment options, including HIFU or hormonal IUDs