How adenomyosis is treated

Patients with adenomyosis can be treated with medication and surgery as prescribed by the doctor. Adenomyosis refers to the invasion of endometrial glands and mesenchyme into the myometrium and maintains functional changes such as cyclic hyperplasia, exfoliation, and hemorrhage, causing corresponding symptoms. It may be caused by the invasion of endometrium into the myometrium due to cesarean section, abortion, labor and delivery, and chronic endometritis. Its treatment can be chosen from medication and surgery. Pharmacological treatment can choose non-steroidal anti-inflammatory drugs such as oral ibuprofen or transanal indomethacin pessary to reduce pain. Levonorgestrel- intrauterine extended-release system is also effective in relieving symptoms and reducing uterine size. Other drugs, such as danazol, 18-methyltriene kynurenine, and GnRH-a can relieve symptoms by inhibiting ovarian function and causing the endometrium to atrophy, resulting in artificial menopause. Surgical treatment options include lesion excision and endometrial removal. Focal resection is suitable for young or fertile patients with limited lesions and severe symptoms. Endometrial removal is suitable for patients without fertility requirements and presenting with increased menstrual flow. In addition, patients with adenomyosis are advised to go to the hospital in time and follow the doctor’s instructions for personalized treatment.