Patient's question:
2008 menstrual pain, blood clots during menstruation, lower abdominal pain on the left side during ovulation, fibroids did not grow again.Examination and test results: good liver function, multiple uterine fibroids, prone to endometrial cysts, changes in uterine muscle echo, considered adenomyosis.
Previous treatment and effectiveness: uterine inflammation treatment, effective, but still menstrual pain, blood clots during menstruation, lower abdominal pain on the left side during ovulation.
Desired help: Hello doctor, I am currently taking Compound Ferrous Fumarate Folic Acid Tablets, Yixuesheng Capsules, Ejiao Fu Ling Decoction, and Mifepristone Tablets (half a tablet before bed). Three days after starting medication, I experienced vaginal bleeding. Is this normal? I thought that women with uterine fibroids cannot consume blood-thinning foods like Ejiao or longan. Why do I always experience lower abdominal pain on the left side? Please help me, I am losing confidence.
Doctor's answer:
After being diagnosed with adenomyosis, it is important to take medication properly under the guidance of a doctor. The current treatment methods are mainly symptomatic treatment, which means that when experiencing lower abdominal pain, discomfort, or dysmenorrhea, anti-inflammatory and analgesic drugs such as ibuprofen, indomethacin, or naproxen can be used to relieve symptoms. Additionally, clinical doctors in recent years have also used estradiol-progestogen as a routine treatment medication. It is taken once on the 1st day and the 3rd day of the menstrual cycle, with each dose being 2.5mg. Subsequently, it is taken once every 3 to 4 days, for a total of 2 doses with the same dosage, and taken continuously for 6 months as one course of treatment. It is recommended that patients pay attention to their diet in daily life and maintain a cheerful mood at all times to enhance their physical fitness and slow down the recovery process.