When does adenomyosis require surgery?

I believe everyone knows that gynecological diseases are the number one killer that endangers women's health. Therefore, many women become extremely distressed and worried once they suffer from gynecological diseases, fearing that their condition will become more serious. Adenomyosis is a type of gynecological disease. Although this disease is not particularly serious at the beginning, surgery is required in the later stages. So when does adenomyosis require surgery? Let me explain it to you today.

Adenomyosis is caused by the invasion of endometrial glands and stroma into the myometrium, and often occurs in multiparous women aged 30-50 years. Main symptoms: 1. Progressive dysmenorrhea, characterized by periodic pain in the middle of the lower abdomen, most of which occur during menstruation. Some patients experience lower abdominal pain at a fixed time before or after menstruation, and the pain gradually worsens; 2. The enlargement of the uterus increases the area of ​​the endometrium, excessive endometrial hyperplasia, poor uterine contraction and other factors. About half of the patients have symptoms of increased menstruation and prolonged menstruation; 3. The enlarged uterus compresses the bladder and causes symptoms of flat urine. About 70% of patients experience decreased libido.

Guidance:

The treatment of adenomyosis depends on the patient's age, fertility requirements and symptoms, and is divided into drug treatment and surgical treatment. 1. Currently, there is no effective drug to cure this disease. For young patients who want to have children, are near menopause and have mild symptoms, GnRH-a treatment, or danazol, or gestrinone treatment can be tried. However, the pain will be relieved or disappear, and the uterus will shrink. However, after stopping the drug, the symptoms will reappear and the uterus will enlarge again. 2. For patients with severe symptoms, older age and no desire to have children or for whom drug treatment is ineffective, total hysterectomy can be performed. Whether the ovaries are retained depends on whether there are any ovarian lesions and the patient's age.

Adenomyosis is a gynecological disease characterized by benign invasion of the normally positioned endometrium into the uterine wall, accompanied by diffuse hyperplasia of the myometrium.

Severe adenomyosis should be treated surgically, with subtotal or total hysterectomy. If the lesion is localized, lesion resection can be considered, but the recurrence rate is high. If the symptoms are mild, medication can be used to relieve them.

Through the above introduction, I believe everyone must have a certain understanding of when adenomyosis requires surgery. Adenomyosis requires hysterectomy when the condition is very serious in the later stages. Therefore, once you find symptoms of illness, you should go to a regular hospital for treatment and never miss the best time for treatment.