How to treat infertility in patients with adenomyosis

Adenomyosis can occur anywhere in the uterus, but involvement of the posterior wall is the most common. Severe cases can lead to infertility. So, how do patients with adenomyosis treat infertility?

There is no consensus on the best treatment for patients with adenomyosis and infertility. Treatment options include: drug therapy, laparoscopy or laparotomy, surgery combined with drug therapy, uterine artery embolization, and magnetic resonance-guided focused ultrasound, but there is still a lack of evidence-based medicine from RCTs.

1Drug treatment: Hormone agonist releasing gonadotropin GnRHa is recognized as the first choice drug.

2. Conservative surgery: Although there are reports of pregnancy in patients with adenomyosis, the pregnancy rate of conservative surgery and drug treatment is lower than that of the former. Pelvic nerve innervation treatment: In recent years, foreign scholars have achieved good results in the treatment of primary and secondary dysmenorrhea by open or laparoscopic presacral neurectomy, PSN, uterine neurectomy, and UNA.

3. Conservative surgery combined with drug treatment: Since drug treatment can inhibit the growth of ectopic endometrial lesions in the short term, and the surgical treatment efficiency of endometriosis-related diseases is about 50%, the combination of conservative surgery and drug treatment GnRHa or danazol can be used clinically.

Through the above detailed introduction, do patients know how to treat infertility in patients with adenomyosis? However, Xiao Tete reminds patients that they must prescribe the right medicine according to the actual situation in order to treat the disease.