Patient's question:
I have severe menstrual cramps every month, and my period usually comes about a week early. The flow is very heavy. I am 34 years old and have never been pregnant.Doctor's answer:
Hello, for patients with adenomyosis who no longer have fertility needs, 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 transition naturally to menopause. For those who wish to conceive, hormone therapy can be administered for 6 to 12 months, after which pregnancy is expected to occur within a short period. If adenomyomas are discovered during surgical exploration, consideration should be given to removing the adenomyomas while preserving the uterus.