

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.
It also causes severe period pain, infertility, heavy periods, irregular bleeding and pelvic pain.
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.

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
is focused on one point
to destroy the tissue
The Roen AI-assisted HIFU program: the uterus is fully preserved, with 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.
The best treatment for humansMapping the path of the ultrasound energy for safe treatment.
The key to HIFU is delivering focused ultrasound energy precisely to the lesion.
Precise image analysis shows both where the lesion is and the path
the ultrasound energy will take.
Artificial Intelligence - Software SystemThe body is always moving. Accurate treatment requires tracking
the lesion's position in real time as it moves.
This is what makes treatment at Aegis Roen OB-GYN safer.
Precise PositioningWe set the exact entry path of the high-intensity focused ultrasound energy to match the patient's body shape
and the position and size of the uterus and tumor.
MRI before treatment to check whether a lesion could become malignant and to look for hidden
malignant lesions
Ultrasound and MRI monitoring during treatment
Results review and objective evaluation after HIFU
MRI is used to analyze the fibroid (location, number, size, shape, etc.), its blood supply,
nearby organs and structures, and a clear path for the ultrasound. Detailed ultrasound then analyzes the number of fibroids to treat, the number of treatment slices,
the volume of each slice, the treatment margin and the relationship between the fibroid and nearby organs.
Based on the MRI before treatment, we precisely identify the location, size and shape
of tumors such as fibroids or adenomyosis
and plan the treatment, including the ultrasound energy level
and entry path
Following the treatment plan, HIFU is guided by fused ultrasound/MRI
images and real-time ultrasound
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.
Before treatment, we check whether a lesion could become malignant
and look for hidden malignant lesions.
After treatment, we explain the results and review them objectively
and make an aftercare plan.
Combining ultrasound and MRI images
to monitor your progress after treatment.
Based on the aftercare plan, we check at set intervals (from the day after treatment, then monthly, quarterly, every six months
and yearly) how much the treated lesion has shrunk and whether there is a risk of recurrence.
From before HIFU until your regular check-ups after discharge,
we take care of every detail.
A dedicated coordinator at the clinic looks after
your follow-up visits and recovery.
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.
