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Can Patients with Adenomyosis Undergo Normal Menopause?

Adenomyosis is a refractory disease in gynecology, and there is no exact treatment for it currently. However, the focus of adenomyosis can atrophy naturally after menopause to cure the disease. Therefore, many patients are looking forward to normal menopause.

Adenomyosis will bring patients heavy menstruation, prolonged menstruation, gradually aggravated dysmenorrhea, and other symptoms, which cause great worries in some patients about the impact on the timing of normal menopause. 
Can patients with adenomyosis have normal menopause?
Generally speaking, the advance or delay of menopause is determined by the ovarian function of the body. When the ovarian function remains normal, menopause will be delayed; declined ovarian function may lead to early menopause. Thus, there is no link between menopause and adenomyosis.
Theoretically, people with adenomyosis can have normal menopause because the timing of menopause has nothing to do with the amount of the menstruation and whether the menstruation is prolonged, or whether a woman has menstrual pain.
In addition, adenomyosis is one form of endometriosis, which refers to the condition when the endometrium moves into the myometrium, causing dysmenorrhea and gradually worsening dysmenorrhea. Clinical color ultrasound will show uterine enlargement, uniform enlargement, and uneven echo between uterine muscle walls. So patients with adenomyosis are typically in their reproductive years, which will not affect menopause.
Adenomyosis refers to endometriosis in other locations, most commonly within the myometrium. Clinical manifestations include increased menstrual volume, uterine enlargement, and severe menstrual pain. This disease can even lead to infertility. The disease itself does not cause delayed menopause. Menopause usually begins at age 45, and most women with adenomyosis can alleviate it spontaneously after menopause.
Regardless of the above, we all know that adenomyosis is an estrogen-dependent disorder. Having adenomyosis means that estrogen levels are high in the body, and menstruation is related to hormone levels in the body. The higher the hormone levels, the later the menopause, so adenomyosis patients are also likely to experience delayed menopause.
In conclusion, patients with adenomyosis will experience normal menopause, but delayed menopause cannot be ruled out.
Then, how should adenomyosis be treated?
Treatments for adenomyosis include medication, surgery, or interventional therapy. Adenomyosis is a localized or diffuse muscle layer lesion caused by the endometrial glands' invasion and stroma into the uterus. This lesion may cause increased menstrual volume, prolonged menstruation, and other unpleasant symptoms. It is recommended to go to regular large medical institutions for diagnosis and treatment so as not to aggravate the condition. The details are as follows:
1. Medication: Patients with mild adenomyosis may suffer excessive bleeding, dysmenorrhea, and other adverse effects. They can take related drugs under the guidance of doctors to control the condition and go to the hospital for regular reviews. Besides, patients can take herbal medicine Fuyan Pill for treatment. It can eliminat pain and other symptoms. 
2. Surgical treatment: Surgical treatment generally includes conservative and radical surgery. Traditional operations include endometrial ablation and muscular layer resection, adenomyosis lesion resection, mesometrium electrocoagulation, uterine artery occlusion, etc. Radical surgery refers to a hysterectomy, etc. Professional doctors should operate according to the severity of the condition. 
3. Interventional therapy. In case of severe adenomyosis, ectopic endometrial necrosis and decreased secretion of prostaglandin, uterine artery embolization can be selected for treatment to reduce menstrual volume and recurrence rate.
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