“Doctor, you said that adenomyosis painful menstruation is caused by menstruation and the lesions in the myometrium shedding and bleeding but not draining out. Then does it not hurt if we don’t come to menstruation, but why don’t you suggest that we take amenorrhea pills and get amenorrhea injections. Isn’t it good to have no menstruation and no menstrual pain after using it? It doesn’t work for adenomyosis, so why do doctors still recommend them? Do they really have no therapeutic value at all for this disease?” In fact, when many adenomyosis patients consult me about their condition, they inevitably ask me what specific medications they should take. I do not recommend the use of drugs to treat adenomyosis, but in no way deny the value of drugs themselves, if “existence is reasonable”, then the following cases, adenomyosis patients consider the use of amenorrhea drugs or amenorrhea needle, is also a desirable option. I. The uterus is very large, but I want to get pregnant. There are many patients with adenomyosis who want to have children, but with a large uterus and a poor uterine environment, it is very 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. It is usually best not to use amenorrhea injections for more than six months. Usually 3-6 injections are given, the exact use of each patient will vary, some patients have more significant results with the uterus getting 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, and those special cases reported in the media, we dare not say there are none, but basically 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 to receive treatment in a short time Severe menstrual pain, so painful that you can’t stand it! Although the pain is great, but because of some family affairs or work schedule and other problems, these patients with adenomyosis do not have time to go to the hospital to receive treatment. Then during the time before receiving treatment, this group of patients may also consider using amenorrhea medication to temporarily relieve their symptoms. Remember, this is for a short period of time and is not appropriate for more than three months. In addition, if the doctor gives you amenorrhea injections or makes you wear a Mannedol ring after a simple adenomyosis surgery in the hospital concerned, it means that he has not dug up the lesions for you, which is a precautionary measure taken for fear of a rapid recurrence of the disease. If the lesion is really thoroughly excavated, and the patient has no other related diseases, there is no need for the doctor to take these precautions. The side effects of amenorrhea pills and amenorrhea injections have been mentioned repeatedly before, so let’s ramble a bit more here. Long-term use of amenorrhea pills and amenorrhea injections can have certain side effects. In particular, the side effects of amenorrhea injections are greater than those of amenorrhea drugs. These artificial amenorrhea measures are often used to achieve amenorrhea by interfering with a woman’s endocrine system. We know that 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. Some patients with adenomyosis who use amenorrhea drugs for a long time may experience sweating, insomnia, hair loss, and deterioration of gastrointestinal function. Some patients say, “I can tolerate these side effects, as long as I don’t get menstrual cramps. However, the rebound of symptoms after stopping the medication or injection is equally desperate. Some patients with adenomyosis feel good 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 bigger, and the once-shrunken uterus starts to rebound, bigger 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 injections, which I generally do not recommend for adenomyosis patients without special circumstances, because it really does not do much good for a woman’s health.