Patient's question:
Lower right side of the small abdomen has persistent tearing pain before, during, and after menstruation. Menstrual flow is heavy with large blood clots. Menstrual cycle is irregular, dark red for a few days before, then heavy and prolonged for the following days.Doctor's answer:
Adenomyosis is a benign inflammatory condition caused by the infiltration of endometrial tissue into the uterine muscle layer. If the patient is young and the symptoms are mild, close observation and symptomatic treatment can be performed. Progestogens, androgens, gossypol, and other medications can alleviate symptoms. For severe symptoms or when the patient does not need to preserve fertility, a hysterectomy can be performed while preserving the ovaries as much as possible. If the patient has pelvic endometrial ectopic lesions, it is also advisable to remove the lesions while preserving ovarian function, allowing the patient to enter natural menopause. For those seeking pregnancy, hormone therapy for 6 to 12 months is recommended, followed by a medication-free period with the expectation of achieving pregnancy in the short term.