Patient's question:
NoDoctor's answer:
Adenomyosis is a benign gynecological condition caused by the invasion of endometrial tissue into the uterine muscle layer. If the patient is young and the symptoms are mild, observation and symptomatic treatment may be sufficient. Progestins, androgens, and gossypol can help alleviate symptoms. For severe symptoms or when fertility preservation is not required, a hysterectomy may be performed 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 seeking fertility, hormone treatment for 6 to 12 months may be recommended, with the hope of achieving short-term conception after discontinuing the medication. If adenomyomas are discovered during surgical exploration, consideration should be given to removing the adenomyomas while preserving the uterus.