Example of severe #adenomyosis in patient with #endometriosis . This is crazy stuff. You can see that as I squeeze the uterus black #endometriosis type blood seeps out of the incisions in the uterus. Even if the #endometriosis is treated , if seevere #adenomyosis is present , you will continue to have excruciating menstrual cramps. Most doctors treat #adenomyosis with a hysterectomy. In most cases this can be avoided and possibly preserve your #fertility. I am one of the few surgeons who is also a reproductive endocrinologist and I perform the #osadasurgery that consists in removing all the adenomyosis from the uterus. It can be performed utilizing the #davincisurgicalsystem or with a laparotomy. In this case i opted for a laparotomy because of the size of the uterus. if you have very severe menstrual cramps you may have #adenomyosis . feel free to email with questions, link in the profile. I apologize for the graphic image, but i feel that people need to be made aware of how severe this condition can be! #endoawareness #endometriosis #endometriosisawarenessmonth #endowarrior #infertility #ivf (at Andrea Vidali MD Endometriosis , Miscarriage , Infertility)