Early Treatment of Adenomyosis | Aegis Roen HIFU Center

Early Treatment of Adenomyosis | Aegis Roen HIFU Center

Early Treatment of Adenomyosis | Aegis Roen HIFU Center Early Fibroid Treatment If a major condition such as fibroids is found in your 20s,
you have a lifelong chance to keep your uterus healthy.

Early Treatment of Adenomyosis | Aegis Roen HIFU Center

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Early Treatment of Adenomyosis | Aegis Roen HIFU Center
A Condition Young Women Should Treat Early
Adenomyosis

Endometriosis is when the uterine lining or similar tissue grows outside the uterine cavity (uterine muscle, ovaries, fallopian tubes, peritoneum, ligaments around the uterus, bladder, vaginal wall, etc.)
and when it grows inside the uterine muscle, it is called adenomyosis.
It is reported to be most common in women in their 40s and 50s.

Adenomyosis As symptoms worsen it can cause infertility
and severe pain, so it needs to be treated.

Adenomyosis is when tissue from the uterine lining grows into the uterine wall. It is considered a type of endometriosis
and also causes severe period pain, infertility, heavy periods, irregular bleeding
and pelvic pain.

Early Treatment of Adenomyosis | Aegis Roen HIFU Center
Why early adenomyosis treatment matters

Adenomyosis prevalence (Health Insurance Review & Assessment Service): up about 20% in the last 5 years

Why are fibroids and adenomyosis
increasing in young unmarried women in their 20s?

Statistics show that more young women in their 20s and 30s have uterine conditions such as fibroids, adenomyosis
and endometriosis.
Rates are rising fast in women in their 20s and 30s.
Many are not aware of uterine disease and skip regular check-ups,
and they dismiss severe period pain or back pain as ordinary PMS,
missing the right time for treatment.

Fibroid patients by age, 2014
Early Treatment of Adenomyosis | Aegis Roen HIFU Center
Causes of adenomyosis

There are two theories: that tissue from the uterine lining grows into the uterine muscle,
or that the uterine muscle tissue changes and becomes similar to lining tissue.

  • Cause 1

    Persistently high levels of the female hormone
    Estrogen is involved in the growth of adenomyosis
    and can lead to it.

  • Cause 2

    Changes in the uterine muscle tissue
    can make it similar to lining tissue,
    leading to adenomyosis.

  • Cause 3

    Other factors,
    such as genetics, hormone imbalance
    and stress

Early Treatment of Adenomyosis | Aegis Roen HIFU Center
Risks and challenges of adenomyosis

Unlike fibroids, adenomyosis is mixed in with normal tissue
and has no clear border, which makes it hard to treat.

Treating adenomyosis, whose lesions have no clear border,
depends on advanced HIFU skilland precise analysis.

Unlike fibroids, adenomyosis does not form distinct nodules, so it has no clear border.
It is usually about as small as a fibroid, and often occurs together with fibroids.

  • Diffuse type Diffuse type DIFFUSE TYPE ADENOMYOSIS
  • Nodular type Nodular type NODULAR TYPE ADENOMYOSIS
  • Sclerotic type Sclerotic type SCLEROTIC TYPE ADENOMYOSIS
  • Cystic type Cystic type CYSTIC TYPE ADENOMYOSIS

The organs in the body sit close together, so after HIFU for adenomyosis the doctor must make sure the lesion was well treated with ultrasound heat
from the inside to just inside its outer edge, and that the heat did not affect nearby organs or nerves.
This requires a specialist with advanced HIFU skill.

Early Treatment of Adenomyosis | Aegis Roen HIFU Center
For unmarried women, surgery for adenomyosis
can make future pregnancy and childbirth impossible.

If an unmarried woman's gynecologic ultrasound shows fibroids or another uterine condition,
she should decide on treatment with a specialist. Treating it with surgery such as removal of the fibroid or the uterus can make future pregnancy and childbirth impossible.

Hysterectomy

Surgery that removes the whole uterus
because the fibroid is large

Non-surgical medication, Mirena

Surgery that removes the fibroid with instruments
through small cuts
instead of a large abdominal incision

Non-invasive HIFU

A treatment that uses the heat
created when high-intensity ultrasound energy
is focused on one point
to destroy the tissue

Early Treatment of Adenomyosis | Aegis Roen HIFU Center
Non-surgical, uterus-preserving early adenomyosis treatment

The Roen AI-assisted HIFU program preserves the uterus, is safer than surgery, keeps pregnancy and childbirth possible, and involves no incision or bleeding

Specialized uterine disease treatment system
Artificial Intelligence HIFU System

High-resolution MRI images and real-time ultrasound images
are combined into a 3D view that tracks
the uterus and tumor as they move with the patient's breathing and body movement,
so that high-intensity focused ultrasound energy treats them safely.

Specialized check-up system for uterine disease
Artificial Intelligence Check up System

For accurate diagnosis of tumors in the uterus,
To follow every possible change during recovery after HIFU,
we run a specialized uterine check-up program
for ongoing follow-up.

  • Non-surgical prevention of major conditions
    HIFU and restoring normal uterine function

    Unlike older HIFU devices, this is a high-intensity
    High-intensity focused ultrasound
    High-intensity focused ultrasound

  • Period problems, vaginitis and more
    Early diagnosis and treatment of women's conditions

    For unmarried women, gynecologic check-ups and early treatment
    are now a must!

  • Comprehensive women's check-up

    Personal women's
    total check-up service

  • Short, simple ∙ safe treatment

    Short hospital stay
    Back to daily life the next day

  • Basic ultrasound

    Checks the ovaries, fallopian tubes, uterine lining, uterine body
    and more for any problems

  • Cervical cancer screening

    Checks for human papillomavirus (HPV)
    infection

  • One session, quick discharge

    Short hospital stay (1 night, 48 hours)
    Back to daily life the next day

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Early Treatment of Adenomyosis | Aegis Roen HIFU Center
Early adenomyosis treatment with HIFU
Key points

Preserves the uterus, safer than surgery, keeps pregnancy and childbirth possible, with no incision or bleeding:
the Roen AI-assisted HIFU program

1. Front junctional zone 2. Back junctional zone 3. Front outer layer 4. Back outer layer
Precisely classifying the type of adenomyosis
and choosing the right treatment for each person is important

Adenomyosis can be classified into 4 types (sclerotic, nodular, cystic and diffuse),
and we tailor the treatment to each type.
Adenomyosis varies in size and type from person to person, so before HIFU
it needs an accurate treatment plan and precise technique that does not affect surrounding tissue.

  • Precise high-intensity ultrasound targeting, down to the cell level

    Preserving the uterine lining and surrounding tissue, focused ultrasound
    precisely treats ∙ destroys the lesion down to the cell level.

  • Only the adenomyosis tissue is gradually destroyed, with no damage to normal tissue

    Without incision or bleeding, only the fibroid or adenomyosis tissue is precisely targeted and destroyed
    for a more complete treatment.

A safe, simple treatment preferred by women of childbearing age: it destroys only the adenomyosis tissue and keeps the uterus whole
Early Treatment of Adenomyosis | Aegis Roen HIFU Center
Real cases of fibroid HIFU treatment and follow-up DOCTOR Jae-Seong Lee
Real Story
I first introduced HIFU for uterine fibroids ∙ adenomyosis
to achieve successful treatment.
  • Former Director, HIFU Center, Department of OB-GYN, Incheon Christian Hospital
  • Former HIFU Advisor, Health Insurance Review & Assessment Service (Korea)
  • Adjunct Professor, Department of OB-GYN, Inha University College of Medicine
  • Adjunct Professor, Incheon St. Mary's Hospital, Catholic University of Korea
  • Director, Aegis Roen OB-GYN Clinic
  • (formerly Aegis Women's Clinic)
  • Director, International HIFU Training Center
  • Member, Korean Society of Obstetrics and Gynecology
  • Member, Korean Society of Gynecologic Endocrinology
  • Member, Korean Society of Gynecologic Endoscopy
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Early Treatment of Adenomyosis | Aegis Roen HIFU Center
Unmarried woman in her 20s HIFU treatment: an 18-month follow-up STORY
July 2016 6.5 cm adenomyosis in an unmarried woman

She was diagnosed with adenomyosis because of severe period pain and anal pain, and was admitted for HIFU.
MRI before HIFU showed the uterus enlarged to 6.5 cm, with adenomyosis changes mainly in the back wall.

After HIFU for adenomyosis, over 90% treated

The MRI images below compare before and after HIFU. Over 90% was treated, and the treated area appears gray and black.
A good outcome is expected, and the remaining lesion at the edge is being monitored with hormone treatment.

Early Treatment of Adenomyosis | Aegis Roen HIFU Center
Follow-up program for early fibroid treatment

Personalized aftercare plan = MRI-integrated HIFU at its core

SAFETY 6STEP

Aegis Roen OB-GYN plans care around each patient's life stage after treatment. So that patients
and their families can feel at ease, we run a structured aftercare program, including an aftercare plan, regular check-ups and follow-up
monitoring.

  • Assessment and treatment

    Before treatment, we check whether a lesion could become malignant
    and look for hidden malignant lesions.

  • Treatment review and aftercare plan

    After treatment, we explain the results, review them objectively
    and make an aftercare plan.

  • Regular check-up monitoring

    We combine ultrasound and MRI images
    to monitor your progress after treatment.

  • Follow-up care

    Based on the aftercare plan, we check at set intervals (from 1 week to 1 year after treatment)
    how much the treated lesion has been absorbed and whether there is a risk of recurrence.

Early Treatment of Adenomyosis | Aegis Roen HIFU Center
Adenomyosis treatment process
1:1 personalized consultation and treatment plan

Knowing the patient's condition and the treatment plan before HIFU
eases worry and helps patients and families feel calm, which improves the treatment result.

Analysis of the patient's condition and tests, HIFU simulation, AI-assisted HIFU, MRI after treatment, objective review and aftercare plan, follow-up program
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· Complications such as bleeding, infection, and inflammation may occur after surgery or the procedure.
Furthermore, subjective satisfaction levels may vary among individuals. Therefore, please consult with a specialist.

Competitiveness of Successful Treatment

Competitiveness of Successful Treatment Aegis Roen Obstetrics and Gynecology clinic ┃ Smile, There's RoenHIFU
  • Possessing Big Data on 16 Years of Successful Non-Surgical HIFU Treatment
    3,000 successful cases nationwide for an individual physician since 2010 (as of September 2024). Learn more
  • HIFU Procedure Effectiveness Supported by Academic Publications
    10 accepted and published papers, including 8 SCI-level papers in international academic journals (domestic unique record). Learn more
  • Early Detection and Early Treatment for Young Women
    Early check-up and treatment programs for unmarried women and women of childbearing age. Learn more
  • Operation of a 'Uterine Health Guardian' Program by Women's Life Cycle Stage
    A Uterine Disease Follow-up and Observation Program offering protection from various diseases, spanning from adolescents in their teens to women in old age. Learn more

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