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Patients with Adenomyosis Should be Cautious When Choosing to Remove the Uterus

Adenomyosis causes various symptoms, including dysmenorrhea, enlarged uterus, heavy periods, prolonged menstruation, painful intercourse, anemia, and infertility. Adenomyosis is a disease caused by ectopic growth of the endometrium invading the myometrium. The lesion site grows together with normal uterine muscle tissue, and the boundary between them is unclear and difficult to eliminate. Therefore, many believe a hysterectomy is the only way to treat adenomyosis.

However, hysterectomy is not recommended because it can significantly impact women physically and mentally.
Harms of hysterectomy:
1. Early menopause. A hysterectomy will not only destroy the endocrine dynamic balance between the uterus and ovaries before menopause but also cause the decline of ovarian function. Because the ovarian blood supplement is largely from the uterus and hysterectomy is the ligation of adjacent blood vessels, it will still affect the ovarian blood supplement, which reduces ovarian function and leads to a sharp drop in serum estrogen levels and earlier menopause.
2. Decreased sexual desire. Many women experience some degrees of decreased sexual desire after hysterectomy, mainly featured as insufficient sex drive, reduced frequency of sex, difficulty in orgasm, etc.
3. Cardiovascular and osteoporosis risks. Women who had their uterus removed are three times more likely to have a heart attack, and women who had their ovaries removed are seven times more likely to have a heart attack.
4. Changes in body structure. During a hysterectomy, four ligaments that hold the uterus in place are removed, resulting in bones and organs in the female pelvis moving abnormally and widening and an impact on the buttocks, lower back, and bone structure. A misaligned pelvis can cause compression of the spine. When the spine is compressed, the rib cage slowly moves down and directly toward the hips. That's why women with hysterectomies have abdomens that stick out or don't have an obvious waistline.
5. It affects the immune system. One or two years after the hysterectomy operation, you may feel very comfortable. But later, it will lead to low levels of physical activity, easy fatigue, reduced resistance, being prone to heart disease, osteoporosis, skin loss of luster, slack, and being easy to appear spots and pigmentation.
6. It affects the urinary system. The uterus plays an important role in maintaining the position of the bladder and rectum. When the uterus is removed, the bladder and rectum lose support and are prone to prolapse with age, affecting urination and defecation function.
7. Pain that cannot be relieved. Many women have permanent and intense pain in their nerve pathways. The pain spreads from the lower back and the hip to the back of the knee, making it painful to sit or walk. Some women feel periodic electric shocks in the vagina due to damage to the pelvic nerves. This makes it difficult for them to sit down and sleep, and other normal activities are often disrupted.
8. Psychological changes. After hysterectomy, some women feel that they are hollow and incomplete females. Their personalities have obvious changes, and it can also lead to depression, inferiority, and suicide.
How can adenomyosis be treated?
If the symptoms are mild, medications can be taken, such as Fuyan Pill, which is harmless compared with surgery and other hormone medications and can maintain the patient's fertility.
If the symptoms are severe, surgery is needed. It is recommended to do uterus preservation surgery and thoroughly dig out the lesion, which can keep the uterus and can have pregnancy two years after the operation. After the operation, menstrual volume decreases, dysmenorrhea disappears, the uterus returns to normal size, and some anal pendant bulges will disappear before surgery. You can return to normal life a month after surgery.
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