Best Adenomyosis Treatment
In adenomyosis, the endometrial tissue grows into and damages the uterine muscle. Adenomyosis often co-occurs with endometriosis and uterine fibroids and presents overlapping symptoms making diagnosis and treatment difficult.
Is hysterectomy a definitive cure for adenomyosis?
Many doctors commonly advocate hysterectomy, or the surgical removal of the uterus, as a treatment option for adenomyosis.
Since adenomyosis lesions usually are inside the uterine muscles, removing the uterus will completely treat the disease. However, hysterectomy results in surgical infertility.
Moreover, if adenomyosis co-exists alongside endometriosis, which it does in about 27% to 70% of the cases, removing the uterus alone will not offer complete symptom alleviation. Endometriosis lesions grow outside the uterus and can occur in various pelvic organs as well as in extra-pelvic regions. Thus, hysterectomy is not a cure for these lesions.
At the Seckin Endometriosis Center, we perform a hysterectomy if the patient desires this option and we have received full consented to the decision. We recognize that the idea of hysterectomy can be a difficult and emotional decision, so our treatment approaches always aim to preserve our patients’ fertility whenever possible.
What can be done to avoid hysterectomy?
There are no standard drugs that can treat adenomyosis. Most endometriosis medications can also be helpful for adenomyosis. If adenomyosis is the only disease present, the symptoms often go away after menopause.
Suppose you are nearing menopause and the symptoms are not severe. In that case, adenomyosis can be managed with over-the-counter pain medications and hormonal birth control such as progestin-only mini pills or intrauterine hormonal devices. It is important to note that these medications do not treat the lesions themselves but only help in managing the symptoms of the disease. Also, not all patients may respond well to these medications.
Are there better surgical options available?
When adenomyosis is diffuse, there are few good surgical options. When there is a focal area of adenomyosis or an adenomyoma, we can carefully excise these. Excision of these areas can lead to improved pain, bleeding, and possibly fertility. However, exceptional skill is necessary to reconstruct the uterus layer by layer so as to facilitate a safe future pregnancy.
Get a Second OpinionOur endometriosis specialists are dedicated to providing patients with expert care. Whether you have been diagnosed or are looking to find a doctor, they are ready to help.
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