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Can You Install an IUD If You Have Adenomyosis?

Women can put a birth control ring in adenomyosis. If the ring still does not improve the symptoms, surgery is usually recommended, but if there is a requirement for fertility, they cannot have surgery.
 
 
"Is it good to have an IUD for adenomyosis?" - This varies from person to person. For women who are going through menopause soon, having an IUD will have some effect. For younger women, the IUD is not suitable. The first one is chemical medicine with surgical treatment, and the other is conservative treatment with herbal medicine. The metabolic nature of the disease, even if operated on, has a high chance of recurrence. The TCM evidence-based treatment is the best treatment for this disease, which is caused by endocrine disorders.
 
Adenomyosis is a severe disease that harms women. Can women use herbal medicine to treat adenomyosis or not? The answer is yes.
 
(1) Traditional Chinese medicine(TCM) treatment
 
TCM believes adenomyosis is related to the internal stasis of blood. Blood stasis is formed on pathogenic factors such as Qi deficiency, cold condensation, Qi stagnation, phlegm, etc., dampness. Therefore, the treatment should be based on activating blood stasis and should also consider the causes of blood stasis and the difference between deficiency and reality. 
 
Patients can take Fuyan Pill orally to treat adenomyosis. Fuyan Pill does not have antibiotic resistance and the risk of postoperative infection, complications, and sequelae of surgical treatment.
 
(2) Symptomatic treatment
 
For those with mild symptoms and require only relief of dysmenorrhea, patients can choose symptomatic treatment with non-steroidal anti-inflammatory drugs. For example, fenbendazole, anti-inflammatory pain, or naproxen are good choices.
 
(3) Pseudo-pregnancy therapy
 
Patients with mild symptoms, no fertility requirements, and near menopause can choose oral contraceptives or progestins to control the development of adenomyosis. It can molt and atrophy the ectopic endometrium.
 
(4) Intrauterine device (IUD)
 
For those who have heavy menstrual flow, dysmenorrhea, and no requirement for childbirth, for the time being, intrauterine devices containing highly effective progestin can be chosen. It is used to control the development of ectopic lesions through its continuous local release of progesterone in the uterus and needs to be removed or replaced after five years.
 
(5) Pseudo-menopausal therapy 
 
"Pharmacological oophorectomy" or "Pharmacological pituitary gland removal" is used to shrink the lesions before surgery and reduce recurrence after surgery. Gnrha injections are used to bring the hormone level in the body to the state of menopause so that the ectopic endometrium GnRHa injections are used to treat ectopic endometrium by gradually shrinking it.
 
The application of GnRHa can cause the uterus to shrink significantly, and it can be used as a preoperative drug for some patients with extensive lesions and complex surgery. The risk and difficulty of surgery are reduced considerably when the uterus becomes smaller. 
 
Side effects can be menopausal symptoms and even lead to severe cardiovascular and cerebrovascular complications and osteoporosis. After three months of GnRHa application, it is recommended to add estrogen in reverse to alleviate difficulties. In addition, GnRHa is costly, so it is not currently used as a long-term treatment option, and once the drug is discontinued, the resumption of menstruation may lead to the re-progression of the lesion.
 
In the above article, the dangers of adenomyosis for women are described. Women need to do their best to prevent adenomyosis in their daily lives.
 

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