What is the treatment for adenomyosis?

The uterus is one of the most important organs for female friends. It is the place for nurturing new life. Some people have bad living habits or do not take good care of themselves after giving birth, which will cause uterine diseases. So do you know about the disease of adenomyosis and how it is treated? Let’s take a look at the treatments of adenomyosis.

1. Medication

(1) Symptomatic treatment For patients with mild symptoms who only require relief of dysmenorrhea symptoms, especially those near menopause, non-steroidal anti-inflammatory drugs can be used for symptomatic treatment during dysmenorrhea. Because the ectopic endometrium will gradually shrink after menopause, the pain of such patients will be relieved after menopause without the need for surgical treatment.

(2) Pseudomenopause therapy GnRHa injection can make the hormone level in the body reach the menopausal state, thereby causing the ectopic endometrium to gradually atrophy and play a therapeutic role. This method is also called "medical oophorectomy" or "medical hypophysectomy."

(3) Pseudo-pregnancy therapy: Some scholars believe that oral contraceptives or progestins can cause the ectopic endometrium to decidualize and atrophy, thereby playing a role in controlling the development of adenomyosis. However, some scholars believe that the ectopic endometrium of adenomyosis is mostly the basal layer of the endometrium, which is insensitive to progesterone. Therefore, the effect of progesterone in the treatment of adenomyosis remains controversial.

2. Surgery

Including 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 is used for patients who have no fertility requirements, whose lesions are extensive, whose symptoms are severe, and who have not responded to 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 is suitable for patients who want to have children or are young. Because adenomyosis often has diffuse lesions and unclear boundaries with normal uterine muscle tissue, how to choose the method of resection to reduce bleeding, residual tissue and facilitate postoperative pregnancy is a very confusing issue. Different scholars have different plans, and there is currently no unified procedure.

The above introduction is about the treatment methods of adenomyosis. I wonder if this knowledge is helpful to everyone. If you have a disease like adenomyosis, don’t be overly afraid or nervous. Go to a regular hospital for treatment so that you can recover. You should also pay more attention to your body in normal times and avoid overwork.