Patient's question:
I have been experiencing menstrual pain for about a year and a half. During severe episodes, I vomit uncontrollably and the pain is unbearable, requiring me to rest in bed. It interferes with my practice and training. I once consulted a traditional Chinese medicine (TCM) practitioner, and initially, my condition improved slightly. However, a year later, the menstrual pain has been worsening. Today, I went to the municipal women's and children's hospital for a thorough examination. The MRI findings were: an enlarged uterus, uneven muscle layers (possibly adenomyosis with small fibroids), blurred bilateral adnexa, and downward displacement of the cervix. A year and a half ago, I consulted a TCM practitioner, and at that time, my condition improved slightly. What illness do my symptoms indicate? How should it be treated?Doctor's answer:
From the MRI description, it seems more likely that you have adenomyosis, which requires systematic treatment. The main symptoms of adenomyosis are progressive dysmenorrhea, uterine enlargement, and uneven echo of the muscular layer. Currently, there is no effective treatment, so only symptomatic treatment can be provided to relieve dysmenorrhea. The methods for relief include early menopause or hysterectomy. The treatment process for adenomyosis is relatively long, and currently, there are strict treatment and surgical treatment options. In strict treatment, false menopause therapy can be used, combined with traditional Chinese medicine to suppress menopausal symptoms.