There is some truth in the statement that adenomyosis is a painful condition and that “the pain will stop when you take the medicine to break your menstruation”. This is because adenomyosis is a lesion caused by the invasion of endometrial tissue into the myometrium. The ectopic endometrial tissue changes and bleeds periodically with each menstruation, causing pain during menstruation because the blood cannot flow out, and gradually worsens the dysmenorrhea due to adhesion to the surrounding adjacent tissues and organs. So if one does not have a period, adenomyosis dysmenorrhea will naturally disappear. Having said that, it is undesirable, and one might even say dangerous, to leave a woman who is only about 25-40 years old in a state of artificial amenorrhea for a long time! In other words, long-term use of amenorrhea pills and amenorrhea injections just for the purpose of achieving pain relief and stopping bleeding is not feasible for adenomyosis patients! Patients with adenomyosis should not blindly use amenorrhea pills and amenorrhea needles, and they are usually considered only in the following cases First, the uterus is very large and you want to get pregnant There are many patients with adenomyosis who have fertility requirements, but with a large uterus and a poor uterine environment, it can be difficult to get pregnant. What to do at this time? Patients with adenomyosis may consider some amenorrhea shots. In some patients (not all), the uterus shrinks significantly and becomes smaller after the amenorrhea injections. When the uterus becomes smaller, its internal environment can be improved to a certain extent, which creates better conditions for pregnancy, thus improving the chances of pregnancy in patients with adenomyosis. The duration of using amenorrhea injections is generally recommended not to exceed six months. Usually 3-6 injections are given, the exact use of each patient will vary, some patients have more significant results after using them, with the uterus becoming significantly smaller after 3 injections, some patients may need 6 injections. In addition, patients with adenomyosis who want to do IVF and have a large uterus are also suitable for this condition. Second, anemia The criteria and degree of anemia have been mentioned often before, so I will not repeat them here. Some patients with adenomyosis who come to the hospital have a serious hemoglobin of only about 50 g/l. Many patients are apprehensive about blood transfusions, even if they are anemic. Many patients are even reluctant to receive blood transfusions. Here I have to digress for a moment. Many people may have seen media reports about various problems with blood transfusions, causing various diseases and so on. In fact, this is not the case in reality. Nowadays, blood transfusion in regular hospitals is still very safe. I can’t say that there are no special cases reported in the media, but basically they rarely happen. Especially in the big provincial cities, the national medical management is very strict, and each hospital does not have the right to collect blood, so the blood transfusion can be said to be very safe. However, there are still some patients with adenomyosis who may not want to correct their anemia through blood transfusion due to their special experience. This is the time when some amenorrhea pills can be considered for this group of patients. Amenorrhea injections are also possible, but they will be more expensive than amenorrhea medications, so it is recommended that you use amenorrhea medications for a short period of time (no more than 3 months). At the same time this part of adenomyosis patients can also eat some ferrous sulfate, vitamin C and other blood-supplementing drugs. Third, the pain is particularly great, and you cannot go to the hospital for a short time to receive treatment How great is the pain? Some patients say that they have the urge to jump when they see the window! Although the pain is great, but because of some family matters or work arrangements and other problems, this part of the adenomyosis patients temporarily do not have time to go to the hospital to receive treatment. Then during the time before receiving treatment, these patients can also consider the use of amenorrhea drugs to temporarily alleviate the symptoms. Remember, this is for a short period of time and is not appropriate for more than three months. The side effects of amenorrhea medication and amenorrhea injections have been mentioned repeatedly before, so let’s ramble a bit more here. Long-term use of amenorrhea pills and injections can have certain side effects. In particular, the side effects of amenorrhea injections are greater than those of amenorrhea drugs. 1, interference with women’s endocrine system These artificial amenorrhea measures are often used to achieve amenorrhea by interfering with a woman’s endocrine system. Our normal women are amenorrheic only at the age of about 50. If the endocrine system of a woman of about 25-40 years old is kept at the level of 50 years old for a long time through the action of drugs, the patient’s body will definitely have problems. 2, leading to osteoporosis Some patients with adenomyosis who use amenorrhea drugs for a long time will experience sweating, insomnia, hair loss, etc., but these are still light, and serious ones will lead to osteoporosis! With osteoporosis, patients tend to have low back pain, pain that spreads along the spine to both sides, pain that decreases when lying on the back or sitting, pain that increases when stretched back when standing upright or when standing or sitting for a long time, and pain that increases when bending over, coughing, or straining to stool. Even serious cases can cause fractures. The most frustrating thing is that the calcium loss that causes this osteoporosis is irreversible, and there is no way for patients to make up for the calcium through some calcium supplements. 3, in addition to long-term use of amenorrhea drugs, amenorrhea needle can also cause some cardiovascular disease. 4, the symptoms rebound after stopping the drug, after stopping the needle The symptoms rebound after stopping the drug, after stopping the needle also makes patients desperate. Some patients with adenomyosis feel well in all aspects of their bodies during the use of drugs and injections, but after stopping the drugs and injections, their periods return, their menstrual flow is even greater, and the once-shrunken uterus begins to rebound, with a larger volume than before! So for amenorrhea drugs and amenorrhea needles, it is not that they cannot be used by patients with adenomyosis, but they should not be used blindly, they should be used selectively. Especially amenorrhea shots, I do not recommend them for patients with adenomyosis who generally do not have special circumstances.