How to treat adenomyosis in women

Patients with adenomyosis are prone to symptoms of frequent menstruation and abdominal pain. In severe cases, abdominal distension may occur even when not menstruating. In addition, urine may also be affected. Many people who have never given birth are very worried about this disease because in severe cases, doctors will recommend hysterectomy, which means no children can be born. Today we will look at the best treatments for adenomyosis.

If the patient does not want to remove the uterus or the IUD, laparoscopic adenomyomectomy can be performed. The normal size of the uterus can be basically restored. Medication can be used to control recurrence 6 months after surgery. For women who do not need to have children after childbirth, conservative treatment and hysterectomy were usually used in the past. Hysterectomy can achieve the purpose of radical cure, but because part of the ovarian blood supply passes through the uterus, women who have undergone hysterectomy have a higher risk of premature ovarian failure. Therefore, hysterectomy treatment is outdated, and now clinical experts can achieve the purpose of radical treatment through targeted lesion resection.

It is generally believed that laparoscopic surgery should be performed to remove the lesions, but laparotomy is beneficial to improve the cure rate, reduce bleeding, and avoid complications. Because the lesions of adenomyosis are diffuse and have no pseudocapsule, the lesions cannot be seen with the naked eye. Open surgery can touch and identify the normal muscle layer or lesions by hand, find and remove scattered lesions, and carefully suture 3-4 layers with absorbable fine linen thread to achieve satisfactory hemostasis without leaving gaps, preventing factorial uterine wound hematoma. Injury. Patients with poor oral healing, postoperative low-grade fever or infection, and a history of surgery can enter the abdominal cavity along the original surgical incision, use a uterine tourniquet during the operation, and basically no bleeding during surgical resection of the lesion.

Patients with adenomyosis often have severe pelvic adhesions, especially adhesions of the posterior uterine wall and intestinal curvature. If partial adhesions and electrocautery are used to stop bleeding under laparoscopy, the intestinal curvature may be damaged. In laparotomy, adhesions can be carefully separated with fingers, sutured to stop bleeding, and visible lesions can be removed. Laparotomy can remove larger lesions at a smaller scale. Laparotomy is more time-saving and convenient than minimally invasive surgery, and anti-adhesion drugs are applied to the wound surface after surgery. Laparoscopic surgery can remove lesions more thoroughly than laparoscopic surgery, and its recurrence rate is much higher than that of laparotomy.

Understand the best treatment for adenomyosis. Whether you feel at ease or not, in fact, if you have this disease, you should still go through a doctor's examination and combine your actual situation to see which treatment method is most suitable for you, so as to effectively control the disease and minimize the harm to your body. I hope this article can help you.