Does a 45-year-old with adenomyosis need surgery?

Whether a 45-year-old woman with adenomyosis needs surgery should be judged based on the specific situation. If there are no symptoms or the symptoms are mild, surgery is usually not required. If the symptoms are severe or drug treatment is ineffective, surgery is usually required. It is necessary to choose the appropriate treatment method under the guidance of a doctor.

Adenomyosis mainly refers to the appearance of endometrial glands and stroma in the myometrium. The cause of the disease may be related to multiple births or multiple artificial abortions. If there are no symptoms after the disease and no fertility requirements, you can be closely observed and no surgery is required. If the symptoms are mild, you can take ibuprofen sustained-release capsules, indomethacin capsules, diclofenac sodium sustained-release tablets and other drugs for symptomatic treatment under the guidance of a doctor. Surgery is not needed for the time being.

If the symptoms are severe and drug treatment cannot effectively alleviate the clinical symptoms, and the patient continues to experience symptoms such as dysmenorrhea, increased menstrual flow, and prolonged menstruation, surgery is required. Otherwise, the above symptoms will gradually worsen and may also cause anemia and endanger physical health. Treatment can be carried out under the doctor's operation through surgical methods such as total hysterectomy and endometrial removal.

While cooperating with the doctor's treatment, you need to pay attention to maintaining a good mood, avoid excessive tension, get more rest, and avoid thinking too much.