How to treat adenomyosis and dysmenorrhea

  Patient: 35 years old, she has had progressive dysmenorrhea for three years, with a five-day menstrual cycle. The pain started on the first day of her menstrual cycle, and she was afraid of cold and wanted to vomit, so she took Phenibut to relieve the pain. For more than a week after her period, her stomach was hard and swollen, and her anus was also swollen. Last year, I had a laparoscopic operation to remove the coeliac sac at the Women’s Health Insurance Hospital, and after the operation, I had three injections of Daphylline and stopped menstruating for six months. I have been taking a lot of traditional Chinese medicine, such as red gold capsule, Gui Zhi Wu Ling capsule and so on, and drinking a lot of Chinese medicine, but nothing works. How can I reduce the pain of menstrual pain while preserving the uterus?  The main difference between this ring and the ordinary birth control ring is that it contains drugs that can be used to treat dysmenorrhea and reduce menstrual flow. Can I get the ring if my uterus is too big and I have cervical erosion?  I have a patient whose uterus is bigger than yours and she got the IUD, the result is good, you can try it. My CA125 is now at 264, compared to 197 last July, and it seems to be rising rapidly. If I don’t fit in even after the Manuelle, do I have to cut my uterus, and if I do the intervention, is it a recurrence soon?  The First People’s Hospital of Guangzhou, Department of Obstetrics and Gynecology He Huiyi: This value is a little high, but I have seen patients CA125 >1000, the effect of the IUD is still very good, generally will not be uncomfortable, but on this ring also has its side effects, is irregular small amount of bleeding in the early months, if you accept it, you can consider on the “Manuelle “Try. Do not consider cutting the uterus or something first. Intervention can also be considered, our hospital does a very good job. For larger uterus adenomyosis can also consider interventional embolization treatment.  Patient: Thank you, Director He, if on when to come.  He Huiyi, Department of Obstetrics and Gynecology, Guangzhou First People’s Hospital: Come for a checkup before getting an IUD, then make an appointment to talk about the pros and cons of getting an IUD in person. Usually the IUD is put on within the first three days of menstruation.  Patient: Thank you!