Uterine and Ovarian Illnesses

Sumiyoshi Umeda Ginza

Uterine fibroids can cause symptoms similar to excessive menstrual bleeding, such as increased blood flow during menstruation and the presence of bulky masses resembling lumps.
Endometriosis and adenomyosis are more common in women in their 20s to 30s, and their main symptom is severe menstrual pain.
Other symptoms may include lower abdominal pain, changes in bowel movements, and pain during sexual intercourse.
These gynecological conditions can contribute to infertility, so it is advisable to seek medical advice as soon as possible.

Uterine and Ovarian Illnesses

Uterine Fibroidscircle

Endometriosis and Adenomyosiscircle

For patients undergoing treatment with low-dose birth control pillscircle

When planning to conceive, it is important to be aware that uterine disorders can cause implantation failure and hinder pregnancy.
Infertility and implantation failure are topics covered in our special feature on implantation. Please refer to the Implantation Special page for more information.

Please inquire before your visit as each facility may handle things differently.
Our Ginza location only handles infertility treatment.

Uterine Fibroids

Uterine Fibroids

The uterus is primarily composed of a type of muscle called smooth muscle.
When these muscles develop benign tumors, it is referred to as uterine fibroids, and it causes the formation of "nodules" or "lumps" in the uterus.

Uterine fibroids can cause symptoms such as difficult menstruation, heavy menstrual bleeding, anemia, and can be a cause of infertility and recurrent pregnancy loss.
Although rare, some larger fibroids can be malignant and referred to as leiomyosarcomas.

The secretion of ovarian hormones can be suppressed through nasal sprays or injections, which can help control the growth of fibroids or even shrink them.
As a symptomatic treatment, low-dose birth control pills can also be used to manage menstrual pain and heavy bleeding.

In cases where the symptoms are severe, the fibroids are large, or they are causing infertility, surgical removal may be necessary.
There are various surgical methods available.
While complete removal of the uterus is an option, our clinic specializes in fertility-preserving treatments, and we generally recommend surgery that focuses on removing the fibroids only.
In addition to conventional open surgery, there are also laparoscopic procedures performed using a laparoscope and hysteroscopic procedures using a resectoscope.

Each method has its advantages and disadvantages, and the suitability of each method depends on individual circumstances.
The approach may vary for unmarried individuals, those actively planning pregnancy, individuals undergoing infertility treatment, and those nearing menopause.
Therefore, we offer counseling to tailor the treatment options to each individual's specific condition.

Endometriosis and Adenomyosis

about Endometriosis and Adenomyosis

Endometriosis and adenomyosis are conditions where the endometrium, which is supposed to line the inside of the uterus, grows in abnormal locations such as the pelvic peritoneum or within the ovaries.
Similar to the normal endometrium, this misplaced tissue also sheds and bleeds during menstruation.
This can lead to increased menstrual pain and the formation of adhesions in the pelvic cavity, causing chronic pain and infertility.
In some cases, endometriosis can form within the ovaries, resulting in the accumulation of blood that turns into a chocolate-like substance.
This is referred to as an endometrioma or chocolate cyst.
When endometrial tissue grows within the muscular wall of the uterus, it is called adenomyosis.

Endometriosis and Adenomyosis

Treatment Options

There are two main treatment options: medication therapy and surgical therapy.
Medication therapy involves using nasal sprays or injections to suppress menstruation and shrink endometriotic lesions.
In milder cases, low-dose birth control pills may be prescribed to alleviate symptoms and slow down the progression of the disease.

Surgical therapy can be performed through open surgery or laparoscopic surgery, although laparoscopic surgery has become the primary approach.
During this procedure, endometriotic lesions are coagulated using techniques such as electrosurgery.
In the case of chocolate cysts, a method called alcohol sclerotherapy may be used, where the old blood inside the cyst is aspirated using a needle under ultrasound guidance, and alcohol is injected to destroy the cyst wall cells.

For adenomyosis, physically removing the affected and normal parts together is challenging due to their intermingling.
While surgery may be considered for localized adenomyosis, there is no well-established technique at present.
Therefore, medication therapy is typically the primary approach.
In cases of infertility, a method called the ultra-long protocol may be used, which involves suppressing menstruation for an extended period and then proceeding with in vitro fertilization (IVF).
This approach has enabled successful pregnancies even in individuals with severe adenomyosis and a history of recurrent miscarriages.

For those undergoing treatment with low-dose birth control pills.
The prescribed treatment utilizes low-dose birth control pills covered by insurance.
If you are receiving ongoing treatment, it is necessary to submit the following documents at each visit.
To ensure a smooth process, please download and complete the forms below in advance.

For patients undergoing treatment with low-dose birth control pills

The treatment involves the use of low-dose birth control pills covered by insurance.
If you continue to receive treatment, it is necessary to submit the following documents at each visit.
Please download (print) the documents below and fill them out in advance for a smoother process.

Clinic
Information		 Oak Clinic, Sumiyoshi
Oak Clinic, Umeda		 *Low-Dose Birth
Control Pill Questionnaire
Check Sheet
*Information for Patients
Interested in Low-Dose Birth
Control Pills (Sumiyoshi/Umeda version)

Clinic Information