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Dr. Naomi Whittaker explains the two types of adenomyosis and their differing impacts on fertility, revealing that the condition is often over-diagnosed on ultrasound. She emphasizes that surgeon selection is crucial for women with reproductive concerns, sharing concerning examples of unauthorized fallopian tube removals during surgeries.
• Diffuse adenomyosis is common in women who have had children and typically does not cause infertility
• Adenomyosis is often “over-called” on ultrasound as technology becomes more advanced
• Focal adenomyosis (adenomyomas) can cause infertility but are usually resectable with proper surgical techniques
• Choosing a fertility-friendly surgeon who respects reproductive goals is critical
• Proper surgical technique and tissue handling significantly impact fertility outcomes
• Patient autonomy and informed consent should always be respected during reproductive surgeries
Send your questions to us using the link in the description, by emailing contact@endobattery.com, or by visiting the endobattery.com contact page.
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Quick Connect Introduction
Speaker 1
0:00
Life
moves
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I'm
your
host
,
alana
,
and
it's
time
to
connect
.
Meet Dr. Naomi Whitaker
Speaker 1
0:47
I'm
joined
at
the
table
today
by
Dr
Naomi
Whitaker
,
who
is
the
founder
of
RRM
Academy
and
is
an
OBGYN
fertility
surgeon
focused
on
women's
restorative
reproductive
medicine
,
compassionate
healthcare
and
education
.
Dr
Whitaker
is
a
board-certified
OBGYN
,
anda
fellowship-trained
surgeon
who
specializes
in
the
Creighton
Model
Fertility
Care
System
and
Napro
Technology
,
which
works
cooperatively
with
women's
body
to
treat
the
underlying
cause
of
gynecologic
issues
and
infertility
,
such
as
endometriosis
and
PCOS
.
Dr
Whitaker
helps
women
improve
their
gynecologic
health
and
avoid
or
achieve
pregnancy
in
accordance
with
their
natural
fertility
,
using
the
latest
research
,
medicine
and
surgery
.
Let's
get
Understanding Adenomyosis Types
Speaker 1
1:26
into
this
.
Are
you
able
to
speak
on
the
success
rate
for
those
patients
that
maybe
have
adenomyosis
,
because
this
is
a
big
one
for
us
in
the
endometriosis
community
,
as
far
as
a
lot
of
us
that
are
struggling
with
fertility
not
only
have
endometriosis
but
have
adenomyosis
as
well
.
Is
that
something
that
you
kind
of
deal
with
on
a
daily
basis
as
part
of
helping
those
achieve
success
in
fertility
?
Speaker 2
1:55
Absolutely
so
I
had
to
really
do
my
own
research
on
adenomyosis
because
there's
really
not
good
information
out
there
.
So
there's
technically
two
different
types
of
adenomyosis
there's
diffuse
and
there's
focal
.
So
diffuse
is
more
common
in
women
who
have
had
children
and
does
not
cause
infertility
but
can
cause
the
symptoms
like
fullness
,
heavy
bleeding
.
But
the
good
thing
is
that
shouldn't
really
affect
fertility
.
It's
very
often
visualized
on
ultrasound
.
In
an
article
that
I
read
analyzing
many
,
many
studies
and
summarizing
the
findings
,
it
compared
it
to
the
boy
who
cried
wolf
.
So
adenomyosis
is
over-called
on
ultrasound
because
obviously
we
know
endometriosis
is
missed
more
often
than
not
by
ultrasound
and
MRI
.
But
they
might
see
some
junctional
changes
or
whatever
.
The
ultrasound
findings
are
an
enlarged
uterus
.
So
oh
,
it
must
be
that
right
.
Just
because
you
find
it
doesn't
mean
it's
clinically
significant
.
And
now
that
our
ultrasound
technologies
is
more
clear
than
it
used
to
be
,
we're
finding
it
more
.
And
now
we're
over
calling
it
based
on
what
I've
been
able
to
find
and
what
I
see
clinically
.
Speaker 2
3:06
I
see
it
frequently
and
I
don't
see
other
signs
of
issues
.
If
it's
just
that
,
for
example
,
right
and
I
don't
,
I
don't
consider
that
in
my
other
than
management
of
symptoms
.
I
don't
consider
that
as
a
barrier
to
conceiving
.
Now
it's
very
different
Why Surgeon Choice Matters
Speaker 2
3:22
.
Someone
messaged
me
today
they
have
a
seven
centimeter
adenomyoma
.
Now
that's
very
different
.
Someone
messaged
me
today
they
have
a
seven
centimeter
adenomyoma
.
Now
that's
very
different
.
That's
evidence
of
focal
adenomyosis
,
so
a
big
nodule
or
area
of
endometriosis
growing
into
the
muscle
of
the
uterus
,
and
so
those
do
cause
infertility
.
But
the
good
thing
is
those
are
resectable
.
You
just
treat
it
very
similarly
to
endometriosis
.
Speaker 1
3:46
Now
it's
definitely
trickier
surgically
but
and
from
my
understanding
,
and
maybe
I'm
wrong
on
this
but
doing
those
does
increase
risk
,
sometimes
with
fertility
,
depending
on
who
you
see
.
Like
you
wouldn't
want
to
see
just
anyone
to
see
to
do
this
,
no
matter
what
Period
.
Speaker 2
4:02
If
you
are
interested
in
fertility
and
I
think
that's
something
I
really
want
to
bring
out
today
into
light
is
that
who
your
surgeon
is
matters
more
than
anything
.
Right
,
Because
not
only
finding
it
all
,
but
tissue
handling
being
very
delicate
with
tissue
I
see
people
on
social
media
even
just
grabbing
the
fallopian
tubes
.
You
don't
want
to
do
that
with
these
very
strong
instruments
.
Obviously
you
don't
want
to
take
out
fallopian
tubes
.
You
don't
want
to
do
that
with
these
very
strong
instruments
.
Obviously
you
don't
want
to
take
out
fallopian
tubes
without
patient
consent
,
which
obviously
happens
a
lot
.
I'm
sure
you've
gotten
those
messages
,
like
I
have
.
Speaker 2
4:33
I
went
under
anesthesia
.
I
woke
up
without
a
fallopian
tube
.
I've
seen
it
on
patients
who
go
to
surgeons
.
They
go
there
for
fertility
.
The
tube
is
taken
out
because
they
thought
it
was
endometriosis
.
Path
was
negative
for
endometriosis
on
the
tube
.
They
took
out
the
whole
tube
.
So
surgeon
choice
matter
.
There's
someone
who's
fertility
friendly
,
who
really
respects
that
,
and
so
it's
.
There's
a
lot
to
it
.
We
could
definitely
go
into
it
more
.
That's
touching
the
surface
of
it
,
but
number
one
respecting
autonomy
.
Respecting
that
.
You
know
I
have
patients
all
the
time
.
Speaker 2
5:04
Are
you
going
to
take
out
my
tube
?
Are
you
going
to
take
out
my
ovary
?
I
mean
,
you
know
and
I
explain
how
often
I
do
that
,
which
is
almost
never
,
unless
I
think
it
looks
like
there's
a
cancer
I
pretty
much
try
to
save
every
fallopian
tube
or
ovary
.
After
you
know
,
informed
discussion
with
a
patient
,
of
course
,
yeah
,
I'm
sure
there
are
exceptions
in
women
who
aren't
trying
to
.
I'm
talking
about
trying
to
conceive
population
.
Episode Wrap-up
Speaker 1
5:25
Yeah
,
that's
a
wrap
for
this
Quick
Connect
.
I
hope
today's
insights
helped
you
move
forward
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more
clarity
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.
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?
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