Patient's question:
Dysmenorrhea, nausea and vomitingDoctor's answer:
Patients with adenomyosis no longer have fertility requirements, and a total hysterectomy is recommended while preserving the ovaries as much as possible. If pelvic endometriosis is also present, efforts should be made to remove the lesions while preserving ovarian function, allowing the patient to undergo natural menopause. For those who wish to conceive, hormone therapy can be administered for 6 to 12 months, followed by a drug-free period with the hope of achieving pregnancy in the short term. If adenomyomas are discovered during surgical exploration, consideration should be given to removing the adenomyomas while preserving the uterus.