Is interventional embolization useful for adenomyosis?

Patients with adenomyosis can choose interventional embolization therapy, which is an effective uterine preservation therapy suitable for patients who want to relieve symptoms and improve their quality of life but do not consider surgical removal of the uterus. Interventional embolization therapy blocks the blood flow of the uterine artery and reduces the blood supply to the adenomyosis tissue, thereby relieving symptoms such as pain and increased menstruation.

1What is interventional embolization therapy?

Interventional embolization is a minimally invasive treatment method. The doctor inserts a catheter into the uterine artery under the guidance of imaging and injects embolic materials to block the blood supply of the diseased tissue. For patients with adenomyosis, this method can gradually shrink the diseased tissue and reduce the persistent pain and menstrual abnormalities caused by adenomyosis. Because the operation is less invasive and the recovery is fast, this technology has gradually become one of the treatment options for patients with adenomyosis.

2. Mechanism of action of interventional embolization therapy on adenomyosis

The pain and menorrhagia of adenomyosis are mainly due to the inflammatory response and uterine enlargement caused by the ectopic glandular tissue in the myometrium. Interventional embolization therapy can reduce blood supply, shrink the glands in the affected area, and reduce inflammation, thereby alleviating symptoms. This treatment does not affect the basic structure of the uterus, so it is suitable for patients who need to preserve the uterus.

3. Applicable population for interventional embolization therapy

This treatment is most suitable for patients with obvious symptoms, ineffective or poor results of drug treatment, and who are not suitable for surgical removal of the uterus. In particular, this treatment can be considered for patients who want to preserve their fertility, have requirements for health recovery time, or are afraid of hysterectomy. However, women who are not ready to complete childbearing should be fully evaluated before treatment, because uterine artery embolization may have a certain impact on fertility.

4. Postoperative recovery and precautions

After receiving embolization therapy, patients may experience some mild discomfort, such as abdominal pain, fever or fatigue, which is normal. Doctors usually recommend 1-2 weeks of rest after surgery and long-term follow-up to observe the improvement of the condition. The diet after surgery should focus on light, avoid raw and cold food, and speed up recovery after surgery.

Interventional embolization therapy provides a relatively low-risk treatment option for patients with adenomyosis that preserves the uterus. However, treatment decisions require a comprehensive assessment of the condition and personal needs. It is recommended that a clear treatment plan be developed under the guidance of a professional doctor. With a comprehensive understanding of the treatment, patients can better manage the disease and its effects.