What are the treatments for adenomyosis?

Adenomyosis, to put it simply, is a tumor growing in the uterus. For many women, tumors are divided into benign or malignant. Benign tumors do not cause much damage to our body, but can affect our work and life. Malignant tumors directly threaten our lives. Recently, we have sought treatment that can help our body's health and recovery. Here we will introduce the treatment methods for adenomyosis.

1. Surgery

Surgical treatment includes radical surgery and conservative surgery. Radical surgery is hysterectomy, and conservative surgery includes adenomyosis lesion (adenomyoma) resection, endometrial and myometrial resection, myometrial electrocoagulation, uterine artery occlusion, presacral neurectomy and sacral neurectomy.

(1) Hysterectomy

It is suitable for patients who have no fertility requirements, have extensive lesions, severe symptoms, and are ineffective with conservative treatment. Moreover, in order to avoid residual lesions, total hysterectomy is the first choice, and partial hysterectomy is generally not advocated.

(2) Lesion resection for adenomyosis

Suitable for patients who want to have children or young patients. Because adenomyosis often has diffuse lesions and unclear boundaries with the normal uterine muscle tissue, how to choose the method of resection to reduce bleeding, residual tissue and facilitate postoperative pregnancy is a rather difficult problem.

2. Interventional treatment

Selective uterine artery embolization can also be used as one of the treatment options for adenomyosis. Its mechanisms of action include: necrosis of the ectopic endometrium, reduced secretion of prostaglandins, relief of dysmenorrhea, reduction of menstrual volume, and lower recurrence rate; establishment of collateral circulation of the endometrium in place, which can gradually migrate and grow from the basal layer to restore function. However, uterine artery embolization will affect the blood supply to the uterus and ovaries, thus having an adverse effect on pregnancy. It may cause infertility, miscarriage, premature birth and increase the rate of cesarean section.

The above are several different treatments for adenomyosis. Interventional treatment, for example, is already a relatively developed treatment method. It can cause necrosis of the tumor inside, but it can also cause many sequelae and may lead to infertility, which is a more serious phenomenon. It may also lead to premature birth, so I have to choose my treatment method carefully when I am pregnant.