How can adenomyosis be treated for a complete recovery?

Generally, adenomyosis can be treated through medication, lesion resection, endometrial ablation, hysterectomy, or uterine artery embolization. It is recommended to consult a physician. Detailed explanations are as follows:

1. Medication

For patients with mild symptoms, those desiring fertility, or those unwilling to undergo surgery, medication may be used under a physician's guidance. Examples include celecoxib capsules, danazol capsules, and triptolide capsules. These medications can alleviate pain, reduce menstrual flow, and regulate hormone levels to improve symptoms of adenomyosis.

2. Lesion Resection

Lesion resection involves surgically removing the endometrial layer to reduce menstrual flow and relieve symptoms of adenomyosis. This approach is more suitable for patients with localized lesions, younger patients, and those with fertility requirements. However, because the borders of adenomyosis lesions are typically uneven and unclear, it may be difficult to completely remove all lesions during surgery.

3. Endometrial Ablation

Endometrial ablation involves surgically removing the endometrial layer to reduce menstrual flow and relieve symptoms of adenomyosis. It is suitable for patients with heavy menstrual bleeding who do not desire fertility. However, endometrial ablation may lead to amenorrhea or reduced menstrual flow after surgery, affecting fertility.

4. Hysterectomy

Hysterectomy involves removing the entire uterus to achieve a definitive cure for adenomyosis. It is suitable for patients with severe symptoms, no fertility requirements, and those for whom medication has proven ineffective. However, hysterectomy is an irreversible procedure that results in loss of fertility and may affect ovarian endocrine function.

5. Uterine Artery Embolization

This minimally invasive interventional treatment is performed under imaging guidance (DSA). An embolic agent is injected into the uterine artery to block the blood supply to the adenomyosis lesion, causing ischemia and atrophy of the lesion. It is more suitable for patients with severe symptoms, those desiring fertility, and those unwilling to undergo surgery. However, this procedure is not a definitive cure and carries risks of postoperative complications such as pain and nerve damage.

During treatment, it is important to maintain healthy lifestyle habits and a positive mindset, and actively follow medical advice, which can aid in recovery.