How is adenomyosis treated?

Dec 25, 2024 Source: Cainiu Health

Dr. Zhang Lu

Introduction

The occurrence of adenomyosis may be related to factors such as aging, abnormalities of the reproductive organs, improper induced abortion, endocrine disorders, and endometritis. Treatment typically involves a comprehensive approach including medication, surgical treatment, interventional therapy, and lifestyle adjustments to relieve symptoms and control disease progression. If abnormalities occur, prompt medical attention is recommended.

Adenomyosis may be related to factors such as aging, abnormalities of the reproductive organs, improper induced abortion procedures, endocrine disorders, and endometritis. Treatment usually involves a comprehensive approach including medication, surgical treatment, interventional therapy, and lifestyle modifications to relieve symptoms and control disease progression. If abnormalities occur, timely medical consultation is recommended. Detailed analysis is as follows:

1. Aging: With increasing age, some women experience declining ovarian function, leading to abnormal hormone secretion that may stimulate excessive growth of the endometrium, thereby triggering adenomyosis. Medications such as gestrinone capsules, levonorgestrel tablets, and anastrozole tablets can be used to lower estrogen levels, or treatment with devices such as the Mirena intrauterine system may be considered. When necessary, surgical removal of the affected tissue may be considered.

2. Abnormalities of the reproductive organs: Adhesive occlusion or blockage of the female reproductive organs may prevent menstrual blood from flowing out smoothly, causing shed endometrial tissue to grow inside the uterus, leading to adenomyosis. Endometrial injury needs to be repaired, and surgical removal of the affected tissue can be performed, such as hysteroscopic endometrial resection, to restore normal uterine structure and function.

3. Improper induced abortion procedures: Some induced abortion procedures might implant endometrial tissue directly into the myometrium during the operation, leading to adenomyosis later on. Symptoms such as dysmenorrhea and menstrual irregularities may accompany this condition. Pain can be relieved under a physician's guidance with medications such as aspirin tablets, acetaminophen tablets, or ibuprofen tablets. When necessary, surgical treatment such as adenomyosis lesion resection or hysterectomy may be required.

4. Endocrine disorders: Endocrine imbalances may cause hormonal disturbances in the body, affecting normal endometrial growth and increasing the risk of developing adenomyosis. Accompanying symptoms may include menstrual irregularities and mood swings. Treatments include lifestyle modifications such as maintaining adequate sleep, balanced nutrition, and appropriate physical activity to improve endocrine function. When necessary, medications such as progesterone capsules, propylthiouracil tablets, and medroxyprogesterone acetate tablets may be used for regulation.

5. Endometritis: Endometritis occurring after childbirth or in other situations, if not treated promptly, may cause rupture of normal tissue layers, leading to abnormal implantation of the endometrium and eventually developing into adenomyosis. Possible accompanying symptoms include abdominal pain and abnormal vaginal discharge. The main treatment involves anti-infective therapy using medications such as metronidazole tablets, levofloxacin tablets, or ornidazole vaginal suppositories, along with maintaining local cleanliness and dryness to prevent the spread of infection. For established adenomyosis lesions, surgical removal may be considered.

Patients with adenomyosis should maintain a healthy lifestyle, including balanced nutrition, appropriate physical activity, and a positive mental state, to enhance physical health and immunity.

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What does it mean to have two menstrual periods in one month?

Having two menstrual periods usually refers to experiencing menstruation twice. In general, the main causes of having two menstrual cycles include emotional fluctuations, irregular lifestyle, luteal phase deficiency, endometrial polyps, adenomyosis, and others. If any discomfort occurs, it is recommended to promptly seek medical attention at a正规 hospital for proper diagnosis and treatment. In daily life, maintain a regular sleep schedule and avoid staying up late; also ensure a balanced diet.

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Why does my menstrual cycle occur once every half month?

In general, the main causes of having menstrual periods every half month include hormonal fluctuations during puberty, excessive stress, luteal phase deficiency, endometrial polyps, and adenomyosis. If this condition occurs, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. In daily life, maintain a regular sleep schedule and avoid staying up late; keep emotional stability and reduce mental stress.

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How are uterine fibroids caused?

Under normal circumstances, the main causes of uterine fibroids include hormonal changes, aging, endometritis, polycystic ovary syndrome, and adenomyosis. If discomfort symptoms occur, it is recommended to seek timely medical treatment at a正规 hospital. In daily life, one should maintain external genital hygiene and avoid unclean sexual activity; maintain a regular diet and balanced nutrition.

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How large is the size of uterine adenomyosis considered severe?

To determine the severity of adenomyosis, the size of the lesion should not be the sole criterion. A comprehensive assessment is required, taking into account the extent of the lesion, symptom presentation, growth rate, and impact on fertility. Generally, the condition is considered relatively mild when the lesion is localized, the uterine volume is not significantly increased, and symptoms are mild. However, the condition may be more severe if the lesion is extensive, the uterine volume is markedly increased, or symptoms significantly affect quality of life, even if individual lesions are not large.