Adenomyosis

NEWS

San study offers fresh hope for women suffering debilitating menstrual condition

18-Jan-2019

A groundbreaking new study undertaken by two doctors from Sydney Adventist Hospital is offering fresh hope for women whose lives are severely impacted by heavy menstrual bleeding and period pain.

The study, led by San interventional radiologist Dr Eisen Liang and gynaecologist Dr Bevan Brown, has shown that Uterine Artery Embolisation (UAE) treatment may be a potential alternative for those women who otherwise faced the prospect of a hysterectomy. UAE is a little-known, non-surgical procedure, often used to shrink fibroids, which are non-cancerous tumours of the womb.

It is estimated that one-quarter of Australian women experience heavy menstrual bleeding and/or crippling period pain, which can be extremely debilitating to their quality of life.

“What many of these women don’t realise is that they may be suffering from a condition called adenomyosis, which is commonly found at hysterectomy,” Dr Liang said.

“Adenomyosis is a benign disease of the uterus. It occurs when the tissue that normally lines the inner cavity has infiltrated the wall of the uterus. The result is heavy central bleeding and period pain. The common and easy option treatment is hysterectomy—but for women who don’t want this, the good news is that there is a non-surgical alternative in UAE.”

The study followed the lives of 117 women with adenomyosis treated with UAE for heavy menstrual bleeding and/or severe period pain for an average of 22 months.

“The results were very encouraging,” Dr Liang said. “Ninety per cent of women were happy or very happy with the outcome, with an average quality of life score improving from 45 to 90.”

Only 5 per cent of the women required hysterectomy. Compared to a hysterectomy, UAE is much less invasive, is carried out under local anaesthetic and has a much shorter down time.

The study was recently published in the Australian and New Zealand Journal of Obstetrics and Gynaecology. 

Dr Eisen Liang Presented Embolisation for Fibroid and Adenomyosis

19-Mar-2018

Dr Eisen Liang Presented Embolisation for Fibroid and Adenomyosis- Australian Experience at Asia Pacific Society of Cardiovascular Interventional Radiology Meeting in Auckland New Zealand
March 2018

Dr Liang also moderated the Session on Obstetric and Gynaecology Intervention with a rich program by the luminaries in the field of Women’s Health intervention.

The session was well attended by interventional radiologists interested in women’s health. There were interactive discussions with the enthusiastic audience. The topics were as follows:

IR management of uterine fibroids and adenomyosis - history, techniques

Speaker: Anne Roberts, USA

Uterine Artery Embolization and Fertility

Speaker: Anna-Maria Belli, UK

Managing complications of UFE

Lindsay Machan, Canada

10 years follow-up of the randomized EMMY trial for UFE

Jim Reekers, Netherlands

Fibroid and Adenomyosis Embolization - Australian Experience

Eisen Liang, Australia

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UAE- a safe and effective non-surgical treatment for adenomyosis

19-Mar-2018    

UAE- a safe and effective non-surgical treatment for adenomyosis
January 2018

Dr Liang and Dr Brown’s clinical research paper is published on-line in ANZJOG. The case series of 117 women treated with uterine artery embolisation (UAE) is the largest in English literature. About 90 % success rate was achieved. Read more……..

The study was on 117 women with adenomyosis diagnosed on MRI. These women were suffering from debilitating heavy menstrual bleeding and/ or severe period pain. All had failed more conservative medical treatments. In the past, hysterectomy would have been the only option to many of these women. The study has shown over 90% of women suffering from adenomyosis can be spared of hysterectomy by having UAE, which is a minimally invasive angiographic procedure that can be done under local anaesthetic. The recovery is one night hospital stay and 1week return to normal activities.

To watch a video summary of the article, click this link: Watch Video

To read the ANZJOG article, click this link: Read Dr Liang's Paper

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