Microwave Ablation Therapy for Adenomyosis | Best Adenomyosis Treatment in India

Microwave Ablation Therapy for Adenomyosis: The Future of Minimally Invasive Treatment in India

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Adenomyosis is one of the most challenging gynecological conditions affecting women in their reproductive years. It not only causes severe menstrual pain and heavy bleeding but also affects fertility and overall quality of life. In recent years, medical advancements have opened up newer, less invasive treatment options for women who wish to preserve their uterus. Among these, Microwave Ablation Therapy (MWA) has emerged as one of the best adenomyosis treatments in India, offering excellent outcomes with minimal discomfort and downtime.

Dr. Sankar Dasmahapatra, a renowned gynecologist and laparoscopic surgeon, has been at the forefront of introducing advanced, uterus-sparing techniques for adenomyosis treatment. His expertise in MWA has helped countless women regain control over their health without the need for major surgery or prolonged hospital stays.

What is Adenomyosis?

Adenomyosis is a benign (non-cancerous) condition in which the inner lining of the uterus, known as the endometrium, grows into the muscular wall of the uterus (the myometrium). This abnormal tissue growth leads to an enlarged, tender uterus and often causes symptoms such as:

Heavy or prolonged menstrual bleeding
Severe menstrual cramps
Chronic pelvic pain
Pain during intercourse
Infertility or difficulty conceiving

Microwave Ablation Therapy for Adenomyosis

While the exact cause of adenomyosis is not fully understood, factors such as hormonal imbalance, uterine injury from surgeries (like C-sections), and genetics are believed to contribute. Traditionally, hysterectomy (surgical removal of the uterus) was considered the only permanent cure. However, thanks to modern medical innovations like Microwave Ablation Therapy, women can now opt for effective, uterus-preserving solutions.

What is Microwave Ablation Therapy (MWA)?

Microwave Ablation Therapy (MWA) is a minimally invasive, image-guided procedure that uses microwave energy to generate heat and destroy the abnormal adenomyotic tissue within the uterus. Unlike open or laparoscopic surgeries, MWA does not require large incisions or removal of the uterus.

The principle is simple — targeted thermal energy is delivered directly to the affected area using a thin needle-like probe. The heat produced (usually around 60°C–100°C) destroys the adenomyotic tissue, while the surrounding healthy tissue remains largely unaffected. Over time, the treated tissue shrinks, reducing pain and bleeding significantly.

This approach has made MWA one of the best adenomyosis treatments in India, particularly for women seeking effective results without major surgery or long recovery periods.

Procedure Steps: How MWA is Performed

Microwave Ablation Therapy is typically performed as a day-care procedure, meaning patients can return home the same day. The steps include:

Diagnosis and Planning:
Before the procedure, Dr. Sankar Dasmahapatra conducts detailed imaging studies such as MRI or transvaginal ultrasound to locate and assess the adenomyotic lesions.
Anesthesia:
The procedure is usually done under local or light general anesthesia, ensuring that the patient remains comfortable throughout.
Guided Probe Insertion:
Using real-time ultrasound guidance, a thin microwave antenna (probe) is inserted into the adenomyotic area through the vaginal route or small puncture in the abdomen.
Energy Delivery:
Controlled microwave energy is emitted from the probe tip to generate localized heat, destroying the targeted adenomyotic tissue.
Completion and Recovery:
Once the ablation is complete, the probe is removed, and a brief observation period follows. Most patients are discharged within a few hours.

The entire procedure typically takes 30 to 60 minutes, depending on the size and extent of adenomyosis.

Microwave Ablation Therapy for Adenomyosis

Mechanism of Action: How MWA Works

Microwave Ablation works through the principle of localized thermal coagulation. When microwave energy is applied, it causes rapid vibration of water molecules within the adenomyotic tissue, producing heat. This heat results in:

Cellular destruction: The high temperature destroys the abnormal endometrial glands and stroma within the muscle layer.
Vascular occlusion: The small blood vessels supplying the adenomyotic area are sealed, reducing abnormal bleeding.
Tissue shrinkage: Over the following weeks, the treated tissue gradually shrinks, relieving pain and pressure.

The targeted destruction of adenomyotic tissue significantly reduces menstrual bleeding and pelvic pain while preserving the uterus and its normal function.

Postoperative Care and Recovery

Recovery after Microwave Ablation Therapy is usually quick and smooth. Since it is a minimally invasive procedure, there are no large incisions, no significant bleeding, and no hospital stay.

Typical postoperative care includes:

✅Mild painkillers for temporary discomfort
✅Avoiding strenuous activities for a few days
✅Normal diet and movement can be resumed the next day
✅Follow-up ultrasound after 4–6 weeks to assess results

Most women notice a significant improvement in symptoms — lighter periods, reduced pain, and improved energy levels — within the first one to two menstrual cycles.

Advantages of Microwave Ablation Therapy

Microwave Ablation Therapy offers multiple advantages over traditional surgical treatments like hysterectomy or myomectomy:

Uterus Preservation: Allows women to retain their uterus, which is important for emotional and hormonal reasons.
Minimally Invasive: No major incisions, minimal blood loss, and shorter recovery time.
No Hospital Stay: Most procedures are done on an outpatient basis.
Quick Relief: Patients experience symptom relief within a short period.
Low Risk of Complications: Fewer chances of infection, bleeding, or scarring.
Improved Fertility Outcomes: In selected cases, fertility may be preserved or improved.
Cost-Effective: Less expensive than major surgery and shorter hospital time.

These advantages make MWA one of the best adenomyosis treatments in India, especially for women seeking non-surgical alternatives.

Limitations and Risks

While MWA is safe and effective, like any medical procedure, it has certain limitations and potential risks:

Not suitable for women with very large or diffuse adenomyosis.
Rare cases of minor infection or temporary pelvic discomfort.
Possibility of recurrence in some patients, especially if adenomyosis is extensive.
Requires skilled specialists and proper imaging guidance for optimal results.

Under the expert care of Dr. Sankar Dasmahapatra, these risks are minimized through careful patient selection, precise technique, and comprehensive follow-up care.

Effectiveness of MWA in Adenomyosis

Clinical studies and real-world data show that Microwave Ablation Therapy provides symptom relief in over 85–90% of patients with adenomyosis. Most women report a significant reduction in menstrual bleeding and pain, with improvement in their quality of life.

Additionally, unlike hormone therapy or temporary medical management, the benefits of MWA are long-lasting. Many women enjoy years of relief without the need for further intervention.

With advancements in imaging and energy control, MWA continues to demonstrate high safety, minimal recurrence, and excellent patient satisfaction, positioning it as the best adenomyosis treatment in India.

Comparison with Other Treatments

Treatment Type	Invasiveness	Hospital Stay	Fertility Preservation	Effectiveness	Recovery Time
Hysterectomy	High	3–5 days	No	100% (uterus removed)	4–6 weeks
Hormonal Therapy	Non-invasive	None	Yes	Temporary	Ongoing medication
Uterine Artery Embolization (UAE)	Minimally invasive	1–2 days	Yes	Moderate	1–2 weeks
High-Intensity Focused Ultrasound (HIFU)	Minimally invasive	Day-care	Yes	Moderate to high	1–3 days
Microwave Ablation (MWA)	Minimally invasive	Same day	Yes	High (85–90%)	1–2 days

This comparison highlights why MWA stands out — it balances effectiveness, safety, and uterine preservation better than most existing treatments.

Ideal Candidates for Microwave Ablation Therapy

MWA is a suitable option for women who:

Have symptomatic adenomyosis (pain, heavy bleeding, or both).
Wish to preserve their uterus.
Prefer minimally invasive, non-hormonal treatment.
Have localized adenomyotic lesions that can be targeted precisely.
Are not responding to medical therapy or are unsuitable for hormone-based treatment.
Have mild to moderate forms of adenomyosis confirmed by MRI or ultrasound.

Dr. Sankar Dasmahapatra carefully evaluates each patient’s medical history, imaging results, and reproductive goals before recommending MWA, ensuring the highest success rate and patient satisfaction.

Microwave Ablation Therapy represents a breakthrough in women’s health — a perfect blend of technology, precision, and compassionate care. It provides long-term relief from adenomyosis while preserving the uterus and minimizing recovery time.

With his extensive experience and dedication to minimally invasive gynecologic surgery, Dr. Sankar Dasmahapatra offers one of the best adenomyosis treatments in India through advanced MWA techniques. His patient-centric approach, coupled with modern medical technology, helps women reclaim their health, comfort, and confidence — without the fear of major surgery.

If you’re struggling with adenomyosis and seeking a safe, effective, and uterus-sparing treatment, Microwave Ablation Therapy under Dr. Sankar Dasmahapatra’s care could be the solution you’ve been waiting for.