What is the treatment for adenomyosis?

The problem of adenomyosis seriously affects women's reproductive health, and the incidence rate is relatively high, so we need to solve it with reasonable treatment. Now we have ultrasonic ablation or radiofrequency ablation, as well as symptomatic use of some drug treatments and surgical treatments.

1. Ultrasound ablation: also known as high-intensity focused ultrasound (HIFU), is a non-invasive treatment technology that has developed rapidly in the past 20 years. It focuses ultrasound on the proliferating adenomyosis tissue on the uterine wall. At the focus of the target area, the mechanical energy of the ultrasound is converted into thermal energy, which increases the temperature of the target tissue and causes coagulative necrosis. The body then phagocytoses and removes the necrotic tissue, thereby reducing the size of the adenomyosis lesions, improving the menstrual cycle, and relieving dysmenorrhea symptoms.

2. Radiofrequency ablation: Its principle is to use the biological heat generated when high-frequency AC electromagnetic waves pass through the tissue to destroy the ectopic endometrial tissue, thereby achieving a therapeutic effect. However, because adenomyosis has no capsule, this approach, like ultrasonic ablation, can only achieve the purpose of reduction but not a cure.

3. Drugs for symptomatic treatment: The dysmenorrhea symptoms caused by this disease can be treated symptomatically with anti-prostaglandin drugs such as ibuprofen, ibuprofen and other non-steroidal anti-inflammatory analgesics. Do not take it on an empty stomach and do not take it continuously for a long time.

4. Surgical treatment: Total hysterectomy is generally recommended for patients who have no fertility requirements, whose clinical symptoms seriously affect their quality of life, and for whom conservative treatment is ineffective. Whether the ovaries are retained is determined based on the patient's age. Choose laparoscopic surgery or laparotomy according to the actual situation.