Can IVF be successful with adenomyosis?

The success rate of IVF for adenomyosis is not as high as imagined, but it is not a complete failure. People should still have a certain degree of confidence in the treatment. Only in this way can the probability of success of their IVF be increased. In addition, the right medicine must be used and there must be targeted treatment for this disease. You must have confidence in the treatment. Only in this way can the disease improve.

1. Do a good job in family planning and try to avoid artificial abortions and curettage as much as possible. If you have gynecological diseases, seek medical attention as soon as possible and avoid excessive intrauterine operations.

2. During the menstrual period, you should take good care of yourself, avoid strenuous activities, pay attention to controlling your emotions, and don't hold grudges, otherwise it will lead to endocrine changes. Abstaining from sexual intercourse during menstruation can reduce the occurrence of adenomyosis to a certain extent.

Pay attention to keeping warm and preventing cold; adjust your mood; the diet should be rich in sufficient nutrition, correct picky eating and abnormal eating habits, and do not overeat spicy or cold foods.

(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, oral contraceptives or progestins can 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) Pseudomenopause therapy ("medical oophorectomy" or "medical hypophysectomy") involves the use of drugs to shrink the lesion before surgery and to 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. The application of GnRHa can significantly reduce the size of the uterus and can be used as a preoperative medication for some patients with larger lesions and difficult surgeries.

If you wait until the uterus becomes smaller before performing surgery, the risks and difficulty will be significantly reduced. Side effects may cause menopausal symptoms and even serious cardiovascular and cerebrovascular complications and osteoporosis. Therefore, it is recommended to add estrogen in reverse after 3 months of GnRHa application to alleviate complications. In addition, GnRHa is expensive, so it is not currently used as a long-term treatment option. Once the drug is stopped, the resumption of menstruation may lead to further progression of the disease.

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. You can take Chinese patent medicines such as Huazheng Zhitong Granules, Sanjie Zhentong Capsules, Dan'e Fukang Decoction, Shaofu Zhuyu Pills, etc. or decoctions adjusted according to your personal situation. You can also use Chinese medicine for promoting blood circulation and removing blood stasis, such as retention enema, plaster application, and ion introduction of Danshen injection. You can also use acupuncture on Guanyuan, Hegu, Sanyinjiao and other acupoints before and during menstruation, or use ear acupuncture on uterus, endocrine, liver and other acupoints.