What should I ask at an adenomyosis surgery consult?

At an adenomyosis surgery consult, we want you to leave clear on the goal of treatment: are we primarily trying to control heavy bleeding, relieve pain/pressure, protect fertility, or all three? Ask what is driving your symptoms based on your history and imaging (ultrasound/MRI), and whether adenomyosis seems diffuse or is a more localized adenomyoma, because that often changes what surgery can realistically accomplish. It’s also important to ask how often adenomyosis overlaps with endometriosis in cases like yours and whether your surgical plan accounts for both.

Then get specific about options and tradeoffs: ask whether a uterus-preserving approach is feasible for you or whether hysterectomy is the most definitive path, and what symptom relief you can reasonably expect with each. Ask about the anticipated scope of surgery, whether it involves the uterus only or evaluation/treatment of other pelvic sites, what surgical approach will be used (laparoscopic vs. robotic), and how the team plans to maximize completeness and safety in complex anatomy. Finally, ask about recovery logistics: same-day vs. overnight stay, the typical timeline back to daily activities, and what postoperative follow-up looks like, so you can plan your life around the procedure. If you’d like, reach out and we can review your records and imaging with you and map a surgical plan aligned with your goals.