Ultrasound ablation therapy – a “nemesis” for uterine preservation and adenomyosis

  How to treat adenomyosis?  The most common treatment is medication. At first, oral painkillers can relieve menstrual pain, but as the condition worsens, oral medication does not have a significant effect, and these medications are contraindicated for women with fertility requirements, which is not a long-term solution to treat the disease. Some patients may choose to put Mannedrol, but as we all know, both medication and Mannedrol are not a cure.  Surgical treatment: 1. Endometrial removal, this treatment does not solve the symptoms of dysmenorrhea.  2. Total hysterectomy, which is undoubtedly undesirable for patients with fertility requirements.  3.Ultrasound-guided ablation therapy is a treatment that uses a needle to “burn” the focal tissues, so that the focal tissues no longer bleed during menstruation, to reduce or eliminate clinical symptoms such as dysmenorrhea, anemia and pressure, and to improve the patient’s life. With the preservation of the uterus and without affecting the function of the ovaries, the advent of this ultramicro-innovative technology has made the removal of the uterus no longer the only way to eradicate adenomyosis.  What is ultrasound-guided ablation treatment?  Ultrasound-guided ablation means that the ablation needle is inserted inside the lesion under the precise guidance of ultrasound equipment. It causes a rapid increase in the internal temperature of the lesion, leading to coagulative necrosis and in situ inactivation of the tissue and cells of the lesion. It is minimally invasive (only a needle eye is left on the body surface), safe, rapid and effective, with few side effects, almost no scarring and quick recovery after the procedure (you can leave the hospital the day after the procedure). This treatment effectively preserves the uterus and gives the patient hope for pregnancy. It is also important to preserve the uterus without destroying the pelvic structure because the uterus plays a role in supporting the pelvic floor and the pelvic structure of the woman changes after removal of the uterus.  The treatment is particularly effective, with patients feeling symptom control, significant pain relief and, in some cases, complete resolution of dysmenorrhea by the first post-operative menstrual period. Another way to treat adenomyosis is to ablate the endometrium directly along with the diseased muscle layer during surgery for women who are near menopause, so that there is no more menstruation and the endometriosis is completely healed while preserving the uterus. For women who want to get pregnant, the doctor can also “burn off” part of the endometrium to solve the symptoms of excessive menstruation and dysmenorrhea.  Does ultrasound-guided ablation treatment cause recurrence?  Adenomyosis is a persistent gynecological disease, with the characteristic of diffuse growth of the uterus. In the future, some sparse weeds may grow up slowly and can be removed again at that time. However, if the symptoms are well relieved and controlled after the ablation treatment, then it is understood that the treatment purpose has been achieved.  In conclusion, as long as patients keep a good attitude, choose the right treatment plan and actively cooperate with the doctor, they can recover as soon as possible.