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Adenomyosis: Avoid a One-Size-Fits-All Surgical Treatment

Adenomyosis is a challenging problem in gynecology, with symptoms ranging from dysmenorrhea, heavy menstrual bleeding, anemia, and debilitating pain to infertility, significantly impacting patients' lives. Some patients even require hospitalization several days each month to alleviate their suffering. In case of these challenges and distress, selecting the appropriate treatment plan becomes paramount.


However, it is crucial to recognize that treatment is not a one-size-fits-all approach, and surgery is not the sole option. While surgical intervention proves effective for patients with severe symptoms, those for whom nonsurgical treatments have failed, and those with high demands regarding fertility and quality of life, it may not be suitable for all patients.

Surgical may entail various potential risks, which patients and physicians must weigh together, making decisions based on individual circumstances:

1. Bleeding: During surgery, bleeding may occur, especially in patients with large or numerous uterine fibroids. Severe bleeding may necessitate blood transfusion or further surgical intervention.

2. Infection: Postoperative infection is possible, including infections at the surgical site and pelvic infections. Infections may lead to symptoms such as fever and localized pain, requiring prompt management.

3. Poor wound healing: Some patients may experience poor wound healing due to individual differences or improper postoperative care, which may require further treatment or repair.

4. Intrauterine adhesions: Damage to the endometrium during surgery may lead to the formation of intrauterine adhesions, which can affect menstrual flow and fertility.

5. Uterine wall perforation: Uterine wall perforation may occur during surgery, especially in large uterine fibroids or complex lesions. It may require further treatment or repair.

How should patients choose their treatment?

There are various treatment options for adenomyosis, and the specific approach depends on comprehensive gynecological examinations and diagnosis in the hospital, followed by targeted treatment:

1. Medication Therapy

Medication therapy typically involves oral contraceptives, progesterone-like drugs, etc. These medications can regulate hormone levels and suppress endometrial growth, alleviating pain and irregular menstruation symptoms. Medication therapy is generally adequate for patients with mild to moderate symptoms, significantly relieving symptoms with lower risks and invasiveness.

2. Minimally Invasive Treatments

Minimally invasive treatments include laparoscopic surgery, uterine artery embolization, etc., which directly targets the affected tissue to alleviate symptoms. Compared to traditional surgery, minimally invasive therapies have smaller incisions and shorter recovery periods, making them a practical choice for some patients who are not suitable for surgery.

3. Traditional Chinese Medicine (TCM) Therapy

TCM treatments include acupuncture, herbal remedies such as the Fuyan Pill, etc., which improve symptoms of adenomyosis by adjusting the body's qi and blood circulation. TCM therapy is effective for patients with mild symptoms or early-stage adenomyosis, reducing symptoms and improving overall health with fewer side effects and risks.

Here are some guidelines for patients undergoing treatment:

1. During treatment, patients should prioritize rest, balance activity and rest, avoid overexertion, and stick to regular daily routines.

2. Additionally, patients should pay attention to their diet, avoiding foods high in estrogen, such as soy products, to prevent adverse effects on their condition.

3. Vigorous exercise should be avoided as much as possible. Instead, patients can engage in light activities such as walking or yoga, which can help promote recovery and alleviate symptoms.

4. If any unusual symptoms or concerns arise, patients should promptly consult their doctor for advice and adhere to the prescribed treatment and management plan. Furthermore, patients should not modify or discontinue medication without consulting their healthcare provider to avoid compromising treatment efficacy or experiencing adverse effects.

In summary, treating adenomyosis requires a tailored approach that considers various factors and should be conducted under the comprehensive guidance of a healthcare professional.

Recommended Readings:

Adenomyosis: What Should I Eat?

Mirena IUD for Adenomyosis: Is It Possible For Every Patient

Why Does Adenomyosis Recur After Surgery? Is There Another Way?

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