Patient's question:
Pain during menstruationDoctor's answer:
Patients with adenomyosis who no longer have fertility requirements should undergo total hysterectomy 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 progress naturally to menopause. For those who wish to conceive, hormone therapy can be administered for 6 to 12 months, with the hope of achieving pregnancy in the short term after stopping the medication. If adenomyomas are discovered during surgical exploration, consideration should be given to removing the adenomyomas while preserving the uterus.