How is adenomyosis treated?

Patient's question:

My classmate's mother has adenomyosis. The doctor said she needs to have her uterus removed. Is there no other treatment besides this? Will medication work? What kind of help do I want: I hope to find a treatment that does not involve removing the uterus.

Doctor's answer:

Adenomyosis is a condition where the endometrial glands and stroma grow into the uterine muscle layer. The main symptoms include excessive menstrual bleeding, prolonged menstrual periods, and gradually worsening, progressive dysmenorrhea. Mild cases may still be fertile. It is recommended that women in menopause can test medication treatment, such as danazol. Younger individuals can undergo lesion excision surgery. If there is no fertility medication, if medication is ineffective, a total hysterectomy should be performed.

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