Is it necessary to remove the uterus for adenomyosis? See the expert's answer

Some people may have heard of cases of hysterectomy due to adenomyosis, but experts say that not all cases of adenomyosis require hysterectomy. If the condition is not serious, it can be treated conservatively, so patients do not need to panic.

1. Adenomyosis is not as simple as adenomyoma. If the patient does not want to undergo surgery, then observe first. If the menstrual flow is not much and only dysmenorrhea is obvious, you can consider retaining the uterus temporarily. However, if the dysmenorrhea reaches an unbearable level, the menstrual flow is heavy, and severe anemia has been caused, it is recommended to remove the uterus as soon as possible.

2. If the menstrual flow of patients with adenomyosis is not heavy and they have never given birth, it is best not to undergo a hysterectomy. Instead, they can receive conservative treatment, such as hormone treatment, and stop taking the medicine after half a year. After stopping the medicine, they can become pregnant within a short period of time.

3. When treating adenomyosis, treatment should be based on the patient's age and symptoms. Symptoms can be relieved through treatment with ibuprofen, naproxen, etc. If the patient has prolonged and severe dysmenorrhea, a total hysterectomy should be performed. If there is no ovarian lesion, the ovaries can be retained.

4. You can soak your limbs in warm water every day, which can help dispel cold and dampness. Pay more attention to eating more blood-replenishing and kidney-tonifying foods, such as beef, pork and other milder foods.

5. Adenomyosis is a benign disease caused by the invasion of the endometrium into the myometrium. The patient is young and the symptoms are not severe. Observation and symptomatic treatment can be used. Progesterone, androgen, cottonpol, etc. can alleviate the symptoms. Those with severe symptoms or no need to retain fertility can undergo hysterectomy and try to retain the ovaries. If there is pelvic endometriosis, the lesions are removed as much as possible to retain ovarian function, so that the patient can go into natural menopause. For those who want to have children, hormone treatment can be used for 6 to 12 months, and the medication can be stopped in the hope of conceiving in the short term. If it is discovered during surgical exploration, consideration should be given to removing the adenomyoma and retaining the uterus.