Different Types of Treatment Options Used for Adenomyosis

UPDATED ON 04th AUG. 2023

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Adenomyosis is a condition that occurs in women when the uterine muscle becomes thicker than normal. When these muscles swell during menstruation, women experience the agony known as dysmenorrhea.

Menorrhagia, the onset of excessive menstrual flow, is another common symptom. It causes your period to last longer, bleeds more, and necessitates the use of five or six pads each day for protection.

Over time, adenomyosis worsens, and its symptoms intensify. Unfortunately, there is no medication available to thin down the uterine muscles in this way.

Instead, the medications your doctor prescribes will focus on relieving your specific symptoms, such as pain and bleeding.

Before we get to the treatment options for adenomyosis, lets first understand about diagnosis of adenomyosis

Diagnosis of Adenomyosis

Seeking medical advice is the first step in determining whether or not you have adenomyosis. They’ll probably ask you certain health-related questions and do a full physical, including a pelvic exam.

The uterus is a common site of pain during a pelvic exam. Further diagnostics may be considered if a doctor suspects adenomyosis because the uterus seems somewhat enlarged.

• Ultrasound :
  This enables the medical professional to study discrete areas of uterine lining tissue embedded in the uterine muscle.

• MRI :
  When a clinician has to examine the inner uterine muscle, an MRI scan is often used.

• Endometrial Biopsy :
  The doctor may wish to collect some uterine endometrial tissue for analysis. It will not aid in the diagnosis of adenomyosis, but it may assist in ruling out other potential explanations for the patient’s symptoms.

These examinations, however, will not provide a conclusive diagnosis. Adenomyosis can be diagnosed after a hysterectomy, and a pathologist has to examine the removed uterus under a microscope.

Also Read: Is adenomyosis a serious condition?

Treatment Options for Adenomyosis

Adenomyosis may not always need medical treatment, especially in milder cases. If your symptoms have become bothersome and are affecting your quality of life, consult Dr. Jay Mehta, the best adenomyosis doctor in India, for a potential treatment plan.

The following are examples of treatments for adenomyosis that attempt to alleviate symptoms :

 – Medications to Reduce Inflammation

If you suffer from significant cramping and bleeding during your period, anti-inflammatory drugs like ibuprofen (Motrin, Advil, Midol) may be able to assist.

Exactly how frequently you should take these pills is something your doctor will go through with you.

You may try starting your anti-inflammatory medicine two or three days before your period is due to start and keeping it up all through your period.

Before using any anti-inflammatory drugs, you and your doctor should talk. These drugs may be contraindicated during certain trimesters of pregnancy.

 – Hormonal Therapy

To alleviate your problems, it may be necessary to address the estrogen levels. Some of them are:

• Leuprolide and other gonadotropin-releasing hormones (GnRH) analogs (Lupron).
• Birth control tablets and other forms of orally administered contraception.
• Method of birth control that exclusively uses progestin, such as an intrauterine device (IUD), tablet, or injectable.

The effectiveness of progestin IUDs such as Skyla and Mirena may be maintained for anywhere from three to seven years.

 – Endometrial Ablation

Ablation of the endometrium uses many methods to either remove or destroy the lining of the uterus. The surgery may usually be done without a hospital stay, and the recovery period is minimal.

However, not everyone will respond well to this treatment due to the deeper penetration that adenomyosis frequently makes into the muscle.

Only those who are done having children or who have no plans to do so should take this.

 – Uterine Artery Embolization

With uterine artery embolization, blood flow is blocked to the afflicted region. The adenomyoma will decrease in size if its blood supply is cut off. Uterine fibroids are often treated using this method.

The operation is carried out at a medical facility. In most cases, an overnight stay is required after that. The lack of uterine scarring is another benefit of this less invasive method.

 – Ultrasound-guided Focused Ultrasound Surgery

Targeted tissue is destroyed by the heat generated by the concentrated, high-intensity ultrasound waves during ultrasound-guided focused ultrasonic surgery. Live ultrasound pictures are used to track the temperature.

Preliminary research indicates that this method helps alleviate symptoms. However, additional study is required.

 – Hysterectomy

Only by removing the uterus surgically, known as a hysterectomy, can adenomyosis be treated successfully. This drastic surgical procedure is reserved for extreme instances and women who have no intention of having further children.

Adenomyosis is immune to your ovaries’ control. The decision to eliminate them (particularly after menopause) or keep them in place will be made after you and your doctor have considered any other factors.

Now we know the treatment options for adenomyosis, now let’s understand the stages of adenomyosis. 

Conclusion

While adenomyosis usually does not pose a life-threatening concern, it has been linked to significant bleeding.

There is a wide variety of therapies that may help you feel better. Their only certain cure is a hysterectomy.

However, as menopause sets in, the issue often resolves itself. In the absence of therapy, adenomyosis symptoms may progress.

Furthermore, adenomyosis may develop with other disorders, including fibroids or endometriosis.

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