When it comes to women’s reproductive health, two common conditions that often get confused are adenomyosis vs endometriosis. Both affect the uterus and cause pelvic pain, heavy bleeding, and fertility issues—but they are not the same. Understanding the difference between adenomyosis and endometriosis is essential for early diagnosis and proper treatment. At Kolte Hospital, Ravet, Pune under the expert care of Dr Dipak S. Kolte, one of the best gynecologists in Pune for adenomyosis and endometriosis, women receive advanced, evidence-based treatment tailored to their specific condition.
What is Adenomyosis?
Adenomyosis occurs when the tissue that normally lines the uterus (the endometrium) grows into the muscular wall of the uterus (the myometrium). This leads to an enlarged uterus, painful periods, and heavy menstrual bleeding. It’s often seen in women between 35–50 years of age and can be associated with childbirth or uterine surgery. The condition can make periods extremely uncomfortable and affect daily life.
At Kolte Hospital, our specialists diagnose adenomyosis using ultrasound, pelvic MRI, and clinical evaluation to provide the most accurate treatment plan.
What is Endometriosis?
Endometriosis is a condition where the endometrial-like tissue grows outside the uterus—on the ovaries, fallopian tubes, or other pelvic organs. Unlike adenomyosis, this tissue has no way to exit the body during menstruation, causing inflammation, cysts, and scar tissue (adhesions). Women with endometriosis often experience severe menstrual pain, chronic pelvic discomfort, and sometimes infertility.
Our team at Kolte Hospital Ravet, Pune uses laparoscopic evaluation and hormone-based diagnosis to identify and treat endometriosis effectively.
Understanding the Difference Between Adenomyosis and Endometriosis:
While both conditions involve misplaced uterine tissue, adenomyosis affects the uterine wall, and endometriosis affects the pelvic cavity. It’s possible for a woman to have both conditions simultaneously.
Causes and Risk Factors of Adenomyosis:
The exact cause of adenomyosis is not fully known, but factors include:
- Hormonal imbalance (excess estrogen)
- Previous uterine surgeries like C-section or fibroid removal
- Childbirth history
- Inflammation of the uterine lining
Women with a family history of adenomyosis or who have had multiple pregnancies are at a higher risk.
Causes and Risk Factors of Endometriosis:
Possible causes of endometriosis include:
- Retrograde menstruation (menstrual blood flowing backward into the pelvis)
- Hormonal imbalance (high estrogen levels)
- Genetics
- Immune system dysfunction
- Pelvic surgeries
Endometriosis can occur even in teenagers or women who haven’t given birth, making awareness and early diagnosis crucial.
What are the Symptoms of Adenomyosis?
- Heavy or prolonged menstrual bleeding
- Severe cramping during periods
- Pain during intercourse
- Bloating or pelvic pressure
- Fatigue or anaemia due to blood loss
If you notice these signs, consult a gynaecologist in Ravet, PCMC for evaluation.
What are the Symptoms of Endometriosis?
- Intense menstrual cramps not relieved by painkillers
- Pain during or after intercourse
- Painful urination or bowel movements during periods
- Infertility or difficulty conceiving
- Chronic pelvic pain
Women experiencing these symptoms should seek consultation with an endometriosis specialist in PCMC, Pune.
How Are Adenomyosis and Endometriosis Diagnosed?
At Kolte Hospital Ravet, diagnosis begins with a detailed medical history and pelvic examination.
- Ultrasound and MRI help identify adenomyosis and the extent of uterine thickening.
- Laparoscopy is the gold standard for diagnosing endometriosis, allowing both confirmation and treatment during the same procedure.
- Blood tests and hormonal evaluations may be used to rule out other causes of heavy bleeding.
Early and accurate diagnosis ensures effective treatment and better fertility outcomes.
Treatment Options for Adenomyosis at Kolte Hospital:
Treatment depends on age, symptoms, and fertility goals. Options include:
- Hormonal therapy (to balance estrogen and reduce pain)
- Non-surgical adenomyosis treatment in Pune (pain management and medication)
- Laparoscopic hysterectomy (for severe cases or women not planning future pregnancies)
- Uterine-sparing procedures for younger patients
At Kolte Hospital, Ravet, Pune Dr. Dipak S. Kolte uses minimally invasive methods to treat adenomyosis safely with faster recovery and minimal discomfort.
Treatment Options for Endometriosis at Kolte Hospital:
Endometriosis treatment in Ravet, PCMC, Pune involves a mix of solutions:
- Pain Relief: Simple painkillers and heat therapy for minor symptoms.
- Hormonal Therapy: Oral contraceptives, progestins, and hormonal IUDs to control cycles.
- Laparoscopic Surgery: Best for moderate-to-severe cases, especially when fertility is the goal. Removes endometriosis tissue while preserving organs.
- Advanced Care: Experienced endometriosis specialists use advanced surgical tools for precision.
Dr. Dipak S. Kolte’s expertise ensures care with least discomfort and best results.
Adenomyosis vs Endometriosis: Impact on Fertility
Both conditions can affect fertility by interfering with ovulation, implantation, or uterine health.
- Adenomyosis can reduce embryo implantation rates.
- Endometriosis can cause scarring of the fallopian tubes and ovaries.
At Kolte Hospital, PCMC, women receive advanced fertility-preserving adenomyosis and endometriosis treatment with hormonal therapy, laparoscopic surgery, and IVF support if required.
Prevalence: Adenomyosis vs Endometriosis
Adenomyosis affects around 1 in 10 women of reproductive age, especially those who have given birth. Endometriosis is slightly more widespread, impacting 10–15% of women worldwide. Both conditions are often underdiagnosed, as many women mistake their symptoms for normal menstrual pain. Early diagnosis by an experienced gynecologist in Ravet, PCMC, Pune, helps ensure timely and effective treatment.
When Should You See a Gynecologist in Pune?
You should consult a gynecologist near you if you experience:
- Persistent pelvic pain or cramps
- Heavy or prolonged periods
- Painful intercourse
- Difficulty conceiving
- Irregular menstrual cycles
Seeking early evaluation from an adenomyosis or endometriosis specialist in Ravet, Pune, like Dr. Dipak S. Kolte, can help manage symptoms, prevent fertility issues, and improve overall well-being.
Why Choose Kolte Hospital for Adenomyosis and Endometriosis Treatment?
- Led by Dipak S. Kolte, one of the best gynecologists in Pune with 16+ years of experience
- Expertise in laparoscopic hysterectomy and minimally invasive gynecologic surgeries
- Equipped with advanced tools like 3D ultrasound, MRI, and hysteroscopy
- Offers fertility-preserving and non-surgical treatment options
- Personalized care and counselling for every woman
- Recognized as one of the best women’s health and maternity hospitals in Ravet, PCMC, Pune
At Kolte Hospital, we focus on accurate diagnosis, compassionate care, and modern treatment to help women live pain-free and confidently.
Consult an Adenomyosis and Endometriosis Specialist in Ravet, Pune:
If you are struggling with painful periods, heavy bleeding, or difficulty conceiving, don’t ignore the signs Consult Dr. Dipak S. Kolte, for expert care and diagnosis.
Call: 8042755821 / 7768072072
Address: Kolte Hospital, Pearl Residency, Ravet, PCMC, Pune
At Kolte Hospital, Dr. Dipak S. Kolte offers safe, personalized, and affordable adenomyosis and endometriosis treatment in Pune — helping women reclaim their health, comfort, and fertility.
Take charge of your health today. Early diagnosis makes a healthy tomorrow—for you and your family.
FAQS: Adenomyosis vs Endometriosis Treatment in Ravet, PCMC
The main difference lies in where the endometrial tissue grows. In adenomyosis, it grows inside the muscular wall of the uterus, while in endometriosis, it grows outside the uterus on nearby organs. Both cause pain and heavy periods, but require different treatment approaches. For expert diagnosis, visit Dr. Dipak S. Kolte, leading adenomyosis specialist in PCMC, Pune at Kolte Hospital.
Yes, many women experience both conditions simultaneously. This makes diagnosis challenging without proper imaging. At Kolte Hospital, Ravet, PCMC, advanced tools like 3D ultrasound and MRI help detect and manage both effectively under the care of an experienced gynecologist in Pune.
Non-surgical treatments include hormonal therapy, pain management, and lifestyle changes. For women planning pregnancy, conservative options are preferred. Kolte Hospital offers non-surgical adenomyosis treatment in Pune, ensuring safe, fertility-preserving care.
Yes, many women conceive successfully with proper treatment. Early diagnosis and timely medical care from an adenomyosis or endometriosis specialist in Ravet, Pune, can improve fertility outcomes. Dr. Dipak S. Kolte provides comprehensive reproductive care tailored to each patient’s needs.
For severe cases, laparoscopic hysterectomy or minimally invasive surgery may be recommended. Kolte Hospital, a trusted women’s health hospital in Ravet, PCMC, specializes in laparoscopic hysterectomy in Pune and adenomyosis surgery in PCMC Pune with faster recovery and minimal discomfort.

