Adenomyosis
Adenomyosis is a condition in which the tissue that normally lines the uterus (endometrium) grows into the muscular wall of the uterus. This can cause the uterus to become enlarged, tender, and painful, especially during menstruation.
Symptoms of adenomyosis may include heavy or prolonged menstrual bleeding, severe menstrual cramps, pressure or pain in the pelvis, and bloating.
The exact cause of adenomyosis is not well understood, but it may be related to hormonal imbalances or inflammation.
Treatment options for adenomyosis may include medication to manage symptoms, hormone therapy to regulate menstrual cycles, or in severe cases, surgery such as hysterectomy (removal of the uterus).
TREATMENT
Anti-inflammatory medicines : If the patient is nearing menopausal age then anti-inflammatory medicines can be used to subdue the pain till she reaches menopause. Anti-inflammatory drugs reduce the menstrual blood flow and help in controlling the pain. The medicines should be taken 2-3 days before the start of the menstrual cycle and should be continued in the cycle as well.
Hormone medications: Hormone medications include birth control pills containing combined estrogen-progestin, vaginal rings and hormone containing patches. They are used to lessen the severe bleeding & pain associated with adenomyosis. Progestin only birth control pills are known to cause absence of menstrual periods which may help in providing relief from symptoms.
Specific surgical treatment for women requiring conservation of uterus : Women experiencing symptoms due to adenomyomas – the focal region of adenomyosis resulting in a mass, may undergo laparoscopic resection or removal of these lesions. This procedure does not involve removal of uterus and thus preserves fertility and uterine function. Below are the options for adenomyosis treatment.
Hysterectomy: If your pain is extremely severe and menopause is years away then hysterectomy is considered. Hysterectomy is the only treatment to completely cure adenomyosis. Hysterectomy is a procedure wherein the womb/uterus is removed, therefore such an option should be only pursued to if the patient as no desire of childbirth. Your ovaries are not affected by adenomyosis and can be left in the body.