The best treatment for adenomyosis

Uterine adenomyosis is a common gynecological disease among female friends. It is one of the difficult and complicated diseases that is difficult to cure, and the cause of the disease is still unclear in medicine. So if female friends find themselves experiencing symptoms related to adenomyosis or are diagnosed with adenomyosis, they must seek medical attention in time, otherwise allowing the disease to develop may lead to serious consequences or even infertility.

There are many treatment options for this disease, and clinical decisions need to be individualized based on the patient's age, symptoms, and fertility requirements. Surgery and drug treatment options can be chosen at the same time.

1. Medication

(1) Symptomatic treatment: For patients with mild symptoms who only require relief of dysmenorrhea, non-steroidal anti-inflammatory drugs such as ibuprofen, indomethacin or naproxen can be used for symptomatic treatment during dysmenorrhea.

(2) For patients with mild symptoms, no desire to have children, or near menopause, pseudopregnancy therapy can use oral contraceptives or progestins to cause the ectopic endometrium to decidualize and atrophy, thereby controlling the development of adenomyosis.

(3) For women with heavy menstrual flow, dysmenorrhea, and no desire to have children, an intrauterine device containing highly effective progestin can be chosen. It continuously releases progestin locally in the uterus to control the development of ectopic lesions and needs to be removed or replaced after five years.

(4) Pseudomenopausal therapy, drugs that shrink lesions before surgery and reduce recurrence after surgery. GnRHa injection makes the hormone level in the body reach the menopausal state, thereby causing the ectopic endometrium to gradually atrophy and play a therapeutic role.

(5) Traditional Chinese Medicine treatment: Traditional Chinese Medicine believes that adenomyosis is related to internal blood stasis, and the formation of blood stasis is related to pathogenic factors such as qi deficiency, cold stagnation, qi stagnation, phlegm and dampness. Therefore, in terms of treatment, we should not only take promoting blood circulation and removing blood stasis as the principle, but also take into account the causes of blood stasis and the differences between deficiency and excess.

2. Surgery

(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.

If female friends want to avoid suffering from adenomyosis, they should start with their lifestyle habits, develop a healthy and regular lifestyle, take contraceptive measures, and avoid unwanted pregnancies, because surgical abortion is very harmful to the female uterus and can easily lead to gynecological diseases such as adenomyosis. Only by taking preventive measures can you have a healthy uterus.