Patients suffering from adenomyosis will hear more or less the same lecture and encounter the doubt that diffuse adenomyosis is not treatable and can only be treated by cutting the uterus. Most adenomyosis is diffuse and rarely confined. Is diffuse adenomyosis more serious and less treatable? What is the difference between diffuse and restrictive adenomyosis? Today we are going to explain this issue in a unified way! We hope this will help! Adenomyosis is a disease caused by the invasion of the uterine lining into the myometrium, mostly occurring in menstruating women aged 30-50. It can be seen as a significant thickening and hardening of the uterine muscle wall without swirling structures, thick bands of muscle fibers and microcystic cavities in the muscle wall, with stale blood in the cavity. If the endometrium invades the myometrium in a confined growth to form nodules or masses, resembling interstitial myomas, it forms adenomyoma, which is what we call confined adenomyosis. What is diffuse adenomyosis? Diffuse adenomyosis is the invasion of the uterus into various parts of the myometrium, like stones in a pile of gravel, with different sizes, shapes, and places. This eventually leads to an enlargement of the uterus, either heavily in the posterior wall or in the anterior wall, or it can cause the uterus to grow more uniformly. So which is more serious, diffuse adenomyosis or limited adenomyoma? In fact, they are two diseases that are generally indistinguishable from each other, and it is not possible to say which one is more or less serious. The only thing is that diffuse adenomyosis is better than limited adenomyoma, and it is easier to remove the adenomyoma surgically. The exact severity of the condition depends on your symptoms. Whether it is diffuse adenomyosis or limited adenomyoma, there is no obvious boundary with the normal tissue of the uterine muscle layer, unlike fibroids, which have an envelope and are still relatively easy to distinguish. Most patients with adenomyosis tend to have a combination of both conditions, that is, both adenomyosis and adenomyoma, and some even have a combination of uterine fibroids… There are no clear boundaries, and it is impossible to distinguish adenomyosis from normal uterine muscle tissue by eye. In addition, many people tend to combine, so that’s why patients with adenomyosis go around seeking medical help, seeking ways to get the most in return for the phrase, if you don’t want to have children, then cut the uterus. Is the removal of the uterus really the only option? Of course not. There are many options for adenomyosis patients, such as medication, Manometrics, and uterine preservation surgery. However, minimally invasive treatment is not recommended for the same reason I mentioned above: adenomyosis is diffuse and borderless. Today’s minimally invasive: it basically depends on the doctor’s eye to distinguish. This can also lead to the fact that the doctor can only treat part of the lesion for the patient and there will be residual lesions. So the remaining re-growth, which will still be painful and painful, is tantamount to not solving the whole problem and having to undergo another surgery, which is even more traumatic. So what exactly should a patient with adenomyosis do? If you still have fertility needs, grasp the problem of children, try to conceive, in vitro can try to use. If you have constant pain during this period, you can take medication for relief. If you have no intention to have a child in the near future, but can’t stand the pain, you can also consider taking Manometrium, but the effect varies from person to person and the effect can’t be determined. For women who have already had children, or for women with adenomyosis who have failed in their attempts to conceive and try in vitro, uterine preservation surgery can be done. Uterine preservation surgery is an open surgery to remove adenomyosis lesions, which is performed mainly by the surgeon’s experience and hands, to remove all adenomyosis, adenomyoma and fibroid lesions, protect the normal endometrium, restore the normal shape of the uterus and preserve fertility. Two years after the operation, the uterus is evaluated for a fertile environment, and the issue of children is considered.