What is the best treatment for adenomyosis?

Adenomyosis is a common gynecological disease. After suffering from the disease, women often experience prolonged menstrual periods and increased menstrual flow. Over time, it will cause women to develop symptoms of anemia. Some people often experience dysmenorrhea symptoms, which is very painful every time menstruation comes. So, if you have this disease, what measures should be taken to treat it?

1. Medication

(1) Symptomatic treatment For patients with mild symptoms who only require relief of dysmenorrhea, 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.

Although adenomyosis is a benign gynecological disease, it brings great pain to patients. Some people even call it an immortal cancer. Therefore, after becoming ill, you must actively cooperate with the doctor for treatment. You can take medication, surgery and other treatment measures according to your condition.