How to treat adenomyosis combined with uterine fibroids?

Patient's question:

3 years ago, examination and test results: Adenomyosis, subtotal hysterectomy, 2.41.5, 2.22.1 (cm). Previous treatment and outcomes: None. What kind of help is needed: Besides hysterectomy, what other methods are available?

Doctor's answer:

Endometriosis of the uterus is a type of endometriosis, primarily causing progressive dysmenorrhea and increasing menstrual bleeding. Treatment is primarily surgical, with poor effectiveness of drug therapy. Uterine fibroids are common benign gynecological tumors, primarily causing changes in menstruation, such as excessive menstrual bleeding, prolonged menstrual periods, and menstrual irregularities. They can also lead to pelvic control symptoms, such as constipation and frequent urination, and may cause anemia in severe cases. Treatment is primarily surgical, with limited significance of drug therapy.
Recommendation: If you are experiencing significant dysmenorrhea and increasing menstrual bleeding again and have not become pregnant, it is recommended that you...

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