

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

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.

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.
Persistently high levels of the female hormone
Estrogen is involved in the growth of adenomyosis
and can lead to it.
Changes in the uterine muscle tissue
can make it similar to lining tissue,
leading to adenomyosis.
Other factors,
such as genetics, hormone imbalance
and stress
Unlike fibroids, adenomyosis is mixed in with normal tissue
and has no clear border, which makes it hard to treat.
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 ADENOMYOSIS
Nodular type
NODULAR TYPE ADENOMYOSIS
Sclerotic type
SCLEROTIC TYPE ADENOMYOSIS
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.
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.
Surgery that removes the whole uterus
because the fibroid is large
Surgery that removes the fibroid with instruments
through small cuts
instead of a large abdominal incision
A treatment that uses the heat
created when high-intensity ultrasound energy
is focused on one point
to destroy the tissue
The Roen AI-assisted HIFU program preserves the uterus, is safer than surgery, keeps pregnancy and childbirth possible, and involves no incision or bleeding
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.
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.
Unlike older HIFU devices, this is a high-intensity
High-intensity focused ultrasound
High-intensity focused ultrasound
For unmarried women, gynecologic check-ups and early treatment
are now a must!
Personal women's
total check-up service
Short hospital stay
Back to daily life the next day
Checks the ovaries, fallopian tubes, uterine lining, uterine body
and more for any problems
Checks for human papillomavirus (HPV)
infection
Short hospital stay (1 night, 48 hours)
Back to daily life the next day
Preserves the uterus, safer than surgery, keeps pregnancy and childbirth possible, with no incision or bleeding:
the Roen AI-assisted HIFU program

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.
Preserving the uterine lining and surrounding tissue, focused ultrasound
precisely treats ∙ destroys the lesion down to the cell level.
Without incision or bleeding, only the fibroid or adenomyosis tissue is precisely targeted and destroyed
for a more complete treatment.
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.
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.
Personalized aftercare plan = MRI-integrated HIFU at its core
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.
Before treatment, we check whether a lesion could become malignant
and look for hidden malignant lesions.
After treatment, we explain the results, review them objectively
and make an aftercare plan.
We combine ultrasound and MRI images
to monitor your progress after treatment.
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.
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.
