What is the wish of a patient with adenomyosis? No more pain? To have a baby? Or simply to be able to sleep peacefully during menstruation? No, no matter how small or humble the wish of adenomyosis patients is, as long as people do not take relevant treatment, the wish will only stay on paper and the dream will only be fulfilled under the covers. In fact, patients with adenomyosis have not actively sought treatment, but “the flowers are getting charming”, we have tried many methods, but still can not walk away from the pain of menstruation. So what should you do if you have adenomyosis? Take a look at the following advice, is it clear! Young women who are not married and have no children Young women who are not married and have no children, my advice is to try to conceive first, usually younger patients, are in the early stages of adenomyosis. There is a great possibility that you can get pregnant successfully, so relax and prepare actively for pregnancy. Of course, don’t be discouraged if you try to conceive several times without success. If you have been trying to conceive for a year and have never gotten pregnant, my advice is not to try to conceive again. Don’t be like a patient I met before who followed the advice of her local TCM practitioner (who thought she could get pregnant naturally) and kept trying for six years without getting pregnant. This delayed the pregnancy and delayed the condition. When she was unsuccessful, she took IVF immediately and went to a hospital with better IVF technology. Listen to your doctor. It is not easy for patients with adenomyosis to get pregnant. Once you get pregnant, it is recommended that you seek prompt guidance from your doctor for “fertility preservation”. During the whole pregnancy, you should go to the hospital regularly for pregnancy check-ups according to the “perinatal health care manual”, and if necessary, increase the number of check-ups according to the attending doctor’s request, and actively cooperate with the doctor’s treatment in case of problems. Adenomyosis without any symptoms Over the years, I have seen too many adenomyosis patients who were in pain and too many adenomyosis patients with no obvious symptoms. Some adenomyosis patients have just developed adenomyosis and do not have any symptoms yet, or some have only mild discomfort. For such adenomyosis patients, they have approached me for uterine preservation surgery and have been advised to go home – there is no need to suffer from this. If your dysmenorrhea is not severe, your periods are not heavy, you have no symptoms of anemia, and your uterus is not very large, then there is no need for surgery. There is no need for medication, and the associated symptoms are not very severe, but there are symptoms and discomfort. You can consider taking medication to maintain and delay until menopause. It is certainly best if you can do without surgery. Adenomyosis patients whose symptoms affect their lives Medical science is first and foremost for the relief of patients’ pain. If adenomyosis causes you unbearable pain and seriously affects your normal life, then you can consider taking uterine-preserving surgical treatment. I have seen patients who have suffered from severe depression due to adenomyosis, and even those who have had light thoughts of life. Leaving aside these severe cases, many patients are in so much pain at night that they can’t sleep and cry under the covers alone. This situation indicates that the condition is also very serious, it is difficult to maintain the drug. The danger of heavy menstruation and even anemia, I will not go into details, I think we can all understand. If the uterus is too large, especially for adenomyosis patients with a uterus size of more than 8cm, it is also recommended to undergo uterine preservation surgery. The cancer rate is much higher in patients with a large uterus than in those with a normal uterus. Although the overall cancer rate of adenomyosis is not high, we always encounter a few cases in a large number of surgeries every year, so it is important to take precautions. After the uterus preservation surgery, these patients can achieve the following results, preserving the uterus and the female unique organs. The postoperative incision is small and easily accepted by patients who pay attention to the aesthetics of the wound. Disappearance of postoperative menstrual pain, return of the uterus to its normal size, and normal menstruation (for women not close to menopause in age). Change of preoperative heavy menstrual flow and correction of anemia symptoms. Preservation of female reproductive function, requiring contraception for 2 years after surgery. Patients recovering from fertility needs, with preparation for pregnancy after 2 years of postoperative evaluation of the uterus Women who will soon enter menopause Patients 50 years and older who have not yet gone through menopause. For these patients, my advice is to first go to the hospital for a hormone 6 test and look at the FSH value when the results come back. If it is close to 40, it proves that menopause is imminent and at this time, various medications such as painkillers and hemostatic drugs can be used to maintain until menopause. Or you can get a Mannedrol ring to relieve menstrual pain, but the effect varies from person to person (patients with large uterus and heavy menstrual flow are not suitable for Mannedrol, the ring is easy to fall off.)