surgical approaches

Adenomyomectomy

Dr. Raanan Meyer is one of the few gynecologic surgeons with advanced expertise in performing fertility-sparing adenomyomectomy using minimally invasive approaches. His technique balances complete removal of diseased tissue with the meticulous reconstruction of the uterus to support future pregnancies.

What Is Adenomyosis?

Adenomyosis is a chronic gynecological condition where endometrial tissue—normally lining the uterus—grows into the muscular wall of the uterus (myometrium). This can cause the uterus to enlarge and leads to symptoms such as:

  • Severe menstrual cramps
  • Heavy or prolonged periods
  • Pelvic pain or pressure
  • Pain during intercourse
  • Fertility challenges

While adenomyosis is often managed medically or with hysterectomy, women who wish to preserve their uterus or maintain fertility may benefit from a highly specialized procedure known as adenomyomectomy.

What is an Adenomyomectomy?

An adenomyomectomy is a complex surgical procedure designed to remove localized or diffuse adenomyotic tissue from the uterus while preserving the surrounding healthy uterine muscle. It is one of the few fertility-preserving surgical options for women with symptomatic adenomyosis who are not ready to undergo a hysterectomy.

Unlike traditional treatments that remove the entire uterus, adenomyomectomy targets the diseased tissue itself, helping to restore normal uterine anatomy and function.

Who is a Candidate for Adenomyomectomy?

You may be a candidate for adenomyomectomy if you:

  • Have been diagnosed with adenomyosis
  • Experience significant pelvic pain or heavy bleeding
  • Wish to preserve your uterus for fertility or personal reasons
  • Have failed to respond to hormonal therapy or other conservative treatments
  • Do not have widespread uterine damage or contraindications for surgery

Ideal candidates typically have focal adenomyosis, meaning the disease is concentrated in one area rather than spread throughout the entire uterus. However, with careful evaluation and surgical planning, even more extensive cases can be treated successfully.

How the Procedure Works

Adenomyomectomy requires precise mapping of adenomyotic tissue, followed by careful excision and reconstruction of the uterine wall. Dr. Meyer performs the procedure laparoscopically or robotically, using small incisions, advanced imaging, and microsurgical techniques.

Key steps include:
  • Identification of adenomyotic nodules or thickened myometrium
  • Dissection and excision of diseased tissue with minimal thermal damage
  • Meticulous layered reconstruction of the uterus using absorbable sutures
  • Preservation of uterine contour and cavity integrity

The goal is to remove as much adenomyosis as possible while maintaining the strength and functionality of the uterus for menstruation, comfort, and future pregnancy.

Benefits of Adenomyomectomy

Adenomyomectomy offers several important advantages for eligible patients:

  • Fertility preservation: Allows women to maintain reproductive potential
  • Uterine preservation: Avoids hysterectomy and its long-term implications
  • Pain relief: Reduces or eliminates severe menstrual and pelvic pain
  • Improved bleeding: Significantly lowers heavy menstrual bleeding
  • Better quality of life: Offers relief from debilitating symptoms

In carefully selected patients, studies show a significant improvement in fertility outcomes and quality of life post-surgery.

Adenomyomectomy and Fertility

One of the primary reasons women choose adenomyomectomy is the desire to conceive. Although adenomyosis has been associated with reduced implantation rates, miscarriage, and infertility, excising the diseased tissue can reverse many of these challenges.

Dr. Meyer works closely with fertility specialists to optimize timing, hormonal support, and conception strategies post-surgery. His goal is not just to relieve symptoms—but to support your long-term reproductive goals with compassion and medical precision.

Fertility benefits may include:
  • Restoration of normal uterine function
  • Reduced inflammation and improved uterine receptivity
  • Decreased miscarriage risk
  • Improved IVF outcomes in previously failed cycles

Minimally Invasive Approach

Dr. Meyer is committed to performing adenomyomectomy using minimally invasive techniques—either laparoscopic or robotic—depending on the case. These techniques offer:

  • Shorter recovery times
  • Less blood loss
  • Smaller, nearly invisible scars
  • Fewer adhesions
  • Faster return to daily activities

Minimally invasive adenomyomectomy is a technically challenging procedure, requiring deep expertise in pelvic surgery, uterine reconstruction, and preservation of reproductive organs. Dr. Meyer’s advanced training and focus on fertility preservation place him among the top surgeons performing this operation in the region.

What to Expect After Surgery

Recovery varies based on the complexity of the procedure and the extent of adenomyosis. Most patients can expect:

  • Same-day discharge
  • Return to light activity: 1–2 weeks
  • Full recovery: 4–6 weeks
  • Resumption of fertility treatments or attempts: typically after 3–6 months

Dr. Meyer provides ongoing follow-up to monitor healing, manage symptoms, and coordinate fertility care. He prioritizes open communication and patient education throughout the recovery process.

Risks and Considerations

As with any surgery, adenomyomectomy carries potential risks, which may include:

  • Bleeding or infection
  • Scar tissue formation
  • Incomplete removal of adenomyotic tissue
  • Need for repeat surgery
  • Uterine rupture during pregnancy (rare, but requires close monitoring)

Dr. Meyer conducts a comprehensive pre-surgical evaluation, including imaging, fertility assessment, and counseling to ensure every patient fully understands the benefits and risks of the procedure.

Why Choose Dr. Raanan Meyer for Adenomyomectomy

Dr. Meyer brings a unique blend of surgical excellence, compassion, and personalized care to every case. His approach is rooted in:

  • Expertise in complex gynecologic surgery
  • Fertility-preserving and minimally invasive techniques
  • A deep understanding of adenomyosis and its systemic effects
  • Collaborative care with reproductive endocrinologists, radiologists, and pelvic pain specialists

His mission is to offer each woman a tailored solution—backed by the latest research and guided by her individual goals. If you’re struggling with adenomyosis and want to explore your options for uterine or fertility preservation, Dr. Meyer is here to help. Adenomyomectomy can be life-changing when performed by a skilled surgeon who understands both the anatomy and the emotional stakes of this decision.