How is Adenomyosis Treated?

Jul 18, 2024 Source: Cainiu Health
Disease description:

Recently, I have been experiencing frequent lower abdominal pain and cold sweats. I was diagnosed with adenomyosis. Doctor, how is adenomyosis treated?

Doctor's answer (1)
Dr. Zhao Xiaodong
Adenomyosis is a common gynecological condition characterized by the abnormal proliferation of endometrial tissue that invades the muscular layer of the uterus. Treatment options vary depending on individual circumstances and the severity of the condition, and mainly include the following: 1. **Medication**: Patients with mild symptoms may try hormonal therapy, such as oral contraceptives or progestin medications, to regulate hormone levels, alleviate pain, and reduce abnormal bleeding. 2. **Nonsteroidal anti-inflammatory drugs (NSAIDs)**: Used to relieve pain, especially during menstruation. 3. **Embolization**: For patients with severe symptoms, embolization can be performed to block the blood vessels supplying the uterus, reduce blood flow, and cause the abnormally growing tissue to shrink. 4. **High-dose progestin preparations**: Such as goserelin or leuprolin, these medications can temporarily induce a "pseudo-menopause" to relieve symptoms, although side effects may include hot flashes and bone loss. 5. **Surgical treatment**: If medication is ineffective or for patients who wish to preserve fertility, surgery may be required, such as conservative procedures that preserve the uterus (e.g., adenomyoma excision) or hysterectomy. 6. **Progesterone receptor antagonists**: Newer alternatives to goserelin that can effectively relieve symptoms, although long-term use requires careful consideration of potential side effects. If you have any concerns, please consult a relevant physician.