Can I exercise with adenomyosis? How to treat it?

Can I exercise if I have adenomyosis? How can I treat it?

1. Women with adenomyosis are not recommended to exercise. Adenomyosis refers to the invasion of endometrial glands and stroma into the myometrium to form diffuse or localized lesions. It is a common and difficult gynecological disease, such as endometriosis.

2. Adenomyosis mainly occurs in the 30-50s. About 15% of patients suffer from endometriosis and about 50% suffer from uterine fibroids.

Drug treatments for adenomyosis include:

1. Symptomatic treatment: For those with mild symptoms who only need to relieve dysmenorrhea symptoms, especially those near menopause, non-steroidal anti-inflammatory drugs can be used for symptomatic treatment during dysmenorrhea. Because the ectopic endometrium will gradually shrink after menopause, the pain of such patients will be relieved after menopause without the need for surgical treatment.

2. Pseudomenopause therapy: GnRHa injection can make the hormone level in the body reach the menopausal state, causing the ectopic endometrium to gradually shrink and play a therapeutic role. This method is also called "medical oophorectomy" or "medical hypophysectomy."

3. Pseudo-pregnancy therapy: Some scholars believe that oral contraceptives or progesterone can cause the ectopic endometrium to decidualize and atrophy, thus controlling the development of adenomyosis. However, some scholars believe that the ectopic endometrium of adenomyosis is mostly basal endometrium, which is insensitive to progesterone. The effect of progesterone in treating adenomyosis is still controversial.