What is the best treatment for adenomyosis?

"Tumor" and "cancer" are common words in life, which frighten many people because they have taken the lives of countless people and people are being hurt by them every moment. But not all tumors and cancers are incurable. With the continuous development of medical technology, many diseases have been cured. Today I will talk to you about the treatment of uterine adenomyosis.

Drug treatment:

(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."

Surgical treatment includes radical surgery and conservative surgery. Radical surgery is hysterectomy, and conservative surgery includes adenomyosis lesion resection, endometrial and myometrial resection, myometrial electrocoagulation, uterine artery occlusion, presacral neurectomy and sacral neurectomy. 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.

In recent years, with the continuous advancement of interventional treatment technology. Selective uterine artery embolization can also be used as one of the treatment options for adenomyosis.

Its mechanisms of action include:

① Ectopic endometrium necrosis, reduced secretion of prostaglandins, and relief of dysmenorrhea;

② After embolization, the uterus becomes soft, the volume and endometrial area are reduced, and the amount of menstruation is reduced;

③ The continuous reduction in uterine volume and contraction of smooth muscles block the tiny channels that cause endometriosis and reduce the recurrence rate.

In fact, tumors and cancer are not scary. What is scary is people’s inner fear of them. When diagnosed with a cancer or tumor, fear often makes the condition worse and hinders treatment. On the contrary, if we can maintain a cheerful and optimistic attitude, although it cannot be said to be a direct cure, it will definitely be beneficial to us rather than harmful.