Unlocking a Medical Enigma: A Leading Specialist Explains Uterine Enlargement
In an informative session, Dr. Hossein Asef Jah, a renowned specialist and surgeon in obstetrics, gynecology, and infertility, shed light on the common yet often misunderstood condition of an enlarged uterus. As a fellowship-trained advanced laparoscopy and hysteroscopy instructor, Dr. Asef Jah provided crucial insights into the causes and treatments of this condition, emphasizing advancements in medical care.
Adenomyosis: A Lesser-Known Condition
A key focus was on Adenomyosis, a benign condition most prevalent in women between 40 and 50 years of age. Dr. Asef Jah explained that this disease, which typically resolves with the onset of menopause, is far less common than other conditions like fibroids or endometriosis and is often linked to genetic factors.
“Adenomyosis refers to the thickening of the uterine muscle wall, which occurs when the inner lining of the uterus (endometrium) grows into the muscular layer,” he stated. This progressive condition leads to uterine enlargement and is categorized into two types: focal and diffuse. The diffuse type, which affects nearly the entire uterine tissue, can cause more severe symptoms and is associated with a doubled risk of miscarriage and infertility. He reassured that the rate of this condition becoming cancerous is very low, though it can lead to other serious complications.
Tailored Treatment Pathways
Dr. Asef Jah detailed various therapeutic approaches based on the underlying cause of the uterine enlargement. For cases involving fibroids, medication can be prescribed to control or halt their growth, with surgical removal also being an option for patients.
For Adenomyosis, treatment strategies are diverse. “Given the influence of estrogen in intensifying this disease, a doctor may prescribe continuous contraceptive pills, such as LD, for six months to a year to stop menstrual cycles,” he noted. Depending on the patient’s response, this regimen could be adjusted, or temporary menopause-inducing drugs might be used. In some cases, pregnancy can also be a recommended course of action after a thorough evaluation.
Surgical Innovations and Fertility Preservation
Highlighting modern medical progress, Dr. Asef Jah discussed surgical techniques. In recent years, open surgery to remove thickened tissue in severe Adenomyosis cases has been performed. This fertility-preserving approach focuses on repairing damaged sections of the uterus rather than complete removal, thereby reducing pain and bleeding while increasing the chances of fertility.
“This technique has now been largely replaced by newer methods like laparoscopy, which offers fewer complications,” he added. Other introduced methods include Uterine Artery Embolization and the use of RF waves; however, these are not recommended for women who plan to become pregnant.
A Holistic View on Management
While the role of diet and herbal remedies in preventing or controlling Adenomyosis is not scientifically proven, Dr. Asef Jah acknowledged that some research suggests dietary modifications and phytotherapy may help alleviate symptoms. He strongly advised that any such approach should be undertaken in consultation with a medical professional.