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Is Surgery A Good Idea for Adenomyosis?
Adenomyosis is often found in middle-aged women, most of them have given birth. In addition, the symptoms like dysmenorrhea and heavy menstrual flow caused by adenomyosis are usually severe, so surgery is a common and effective treatment. So what are these surgical treatment methods? How about the effect of them?
1. Hysterectomy
For patients without fertility requirements, and clinical symptoms seriously affect the quality of their life, and conservative treatment is ineffective, hysterectomy is generally advocated, and the reservation of ovary depends on the age of patients. According to the actual condition, laparoscopic surgery or open surgery can be selected.
2. Excision of intrauterine focus
This surgery refers to removing the focus as far as possible and repairing the uterus by laparoscopic or laparotomy without incision of the endometrium. For adenomyosis patients with clear focus boundaries, especially adenomyoma patients, the current dysmenorrhea and menorrhagia can be significantly improved, but this method can not achieve the purpose of radical cure.
3. Hysteroscopic endometrial resection
For patients who are older or have no fertility requirements, this method can remove most of the endometrial and superficial adenomyosis lesions to achieve the purpose of treatment, but it can not achieve the effect of treatment for the deeper lesions. Therefore, before adopting this method, we should know the depth of the infiltration of the lesions in the myometrium through a Transvaginal ultrasound.
4. Laparoscopic presacral neurectomy
This option is to burn and cut off the nerves in the uterosacral ligament or presacral nerves by means of electric knife or laser under laparoscope, so as to block the pain nerves of the uterus. For women with strong fertility requirements, although the operation is difficult, compared with the traditional operation, it has a good effect on the control of long-term pain.
The treatment of adenomyosis is mainly related to the age, symptoms, and fertility requirements of the root patients. For patients with serious symptoms, older, no fertility requirements, and poor drug treatment effects, surgical treatment can be selected.
However, for young patients who have birth requirements and mild symptoms, it is better to choose oral drugs for treatment. The commonly used drugs are gestrinone, gonadotropin-releasing hormone agonist, etc. It should be noted that hormone treatment of adenomyosis can temporarily make the endometrial and myometrial lesions atrophy, so as to alleviate the symptoms of dysmenorrhea and menstrual abnormalities.
Long-term use of hormone therapy swill lead to endocrine disorders, such as obesity or edema, acne on the face, black spots, dizziness, nausea, breast pain, and other side effects, and it may cause osteoporosis, ECG abnormalities, and even damage to the liver, kidney and other organs of the patients in severe cases, so it is not recommended to be used as long-term use.
The specific way should be selected according to the patient's situation. It is suggested that the patients should choose the most suitable way after considerate consideration. They can also choose the traditional Chinese herbal medicine Fuyan Pill to treat, especially the patients with strong fertility requirements.
Fuyan Pill has the functions of clearing away heat and toxin, promoting blood circulation and Qi, strengthening the spleen, and promoting dampness. It can effectively remove the virus infection, make menstruation regular, repair endometrial trauma, treat adenomyosis from various aspects, and improve the pregnancy rate of women.
In addition, patients who had undergone the surgical treatment, if there is a recurrence, you can also choose Fuyan Pill to carry out postoperative conditioning. In addition, patients must cooperate with the doctor's reasonable suggestions for recovery. In addition, maintaining an optimistic and positive attitude is conducive to the recovery of the body.
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