Patient's question:
What is the best treatment?Doctor's answer:
(1) Symptomatic treatment for those with milder symptoms who only require relief from dysmenorrhea can involve the use of non-steroidal anti-inflammatory drugs (NSAIDs) such as Advil, Indomethacin, or Naproxen during menstrual periods.(2) The pseudopregnancy therapy, suitable for individuals with mild symptoms and no current fertility needs or those nearing menopause, involves taking oral contraceptives or progesterone to induce decidualization and atrophy of ectopic endometrium, thereby controlling the progression of adenomyosis.
(3) An intrauterine device (IUD) can be chosen for those with heavy menstrual bleeding, dysmenorrhea, and no current fertility needs. An IUD containing high-efficiency progesterone can be used to locally release progesterone in the uterus, helping to control the development of ectopic lesions. It should be removed or replaced after five years.