Treatment of uterine fibroids and adenomyosis

Female friends are most reluctant to feel uncomfortable, because the particularity of female reproductive organs can easily lead to some gynecological diseases, so you must pay attention to your health problems at ordinary times. I don’t know if you know about uterine fibroids. Many people are worried. We will introduce the treatment of uterine fibroids and adenomyosis.

1. Medication

(1) Symptomatic treatment For patients with mild symptoms who only need to relieve dysmenorrhea, especially those near menopause, non-steroidal anti-inflammatory drugs can be used to treat dysmenorrhea symptomatically. Since the ectopic endometrium gradually atrophies after menopause, postmenopausal pain can be relieved without surgical treatment.

(2) Pseudomenopause therapy GnRHa injection can make hormone levels reach the menopausal state, causing the ectopic endometrium to gradually shrink and exert a therapeutic effect. This method is also called "medical oophorectomy" or "medical hypophysectomy."

(3) Some scholars believe that oral contraceptives or progesterone can cause the ectopic endometrium to decidualize and atrophy, thus playing a role in controlling the development of adenomyosis. However, some scholars believe that the ectopic endometrium in adenomyosis is mostly basal endometrium, which is insensitive to progesterone. Therefore, the role of progesterone in the treatment of adenomyosis is still controversial.

2. Surgical treatment

It includes radical surgery and conservative surgery. Radical hysterectomy is hysterectomy. Conservative surgery includes excision of adenomyosis lesions (adenomyoma), excision of endometrium and myometrium, myometrial electrocoagulation, uterine artery occlusion, presacral nerve resection and sacral nerve resection.

(1) Hysterectomy is performed on patients who have no fertility requirements, extensive lesions, severe symptoms, and ineffective conservative treatment. In addition, in order to avoid residual lesions, total hysterectomy is the first choice, and partial hysterectomy is generally not recommended.

(2) Lesion resection for adenomyosis is suitable for patients who want to have children or are younger. Since adenomyosis often has diffuse lesions and unclear boundaries with normal uterine muscle tissue, how to choose the resection method to reduce postoperative bleeding, residual and promote pregnancy is a very confusing issue. Different scholars have different plans, and there is no unified method at present.

The above is about the treatment of uterine fibroids and adenomyosis. Correct treatment can make people with this disease recover as soon as possible. I also hope that female friends will pay attention to their health problems in their busy work and life. When problems arise, they must go to the hospital for a check-up in time, because correct treatment can make people healthy.