2 Common Treatment Methods of Adenomyosis and Its Impact on Fertility

The main manifestations of adenomyosis are secondary dysmenorrhea, increased menstrual volume, and menstrual disorders. Because adenomyosis can affect women's fertility, it is necessary to pay enough attention to the disease, fully understand the relevant medical knowledge, and master the prevention and treatment methods. Adenomyosis: 2 common treatment methods 1. Drug therapy Patients whose clinical symptoms are not severe and have fertility ideas, oral drugs, and clinical observation are generally selected for treatment. Adenomyosis is a sex hormone-dependent disease. The high estrogen levels can promote ectopic endometrial growth, and excessive growth of endometrium will invade the muscle layer, then adenomyosis occurs. Therefore, the use of a consumption hormone antibody can treat adenomyosis, significantly relieve abdominal pain, and reduce vaginal bleeding symptoms. Danazol, commonly used in gynecology, has the effect of anti-estrogen. It belongs to the inhibitive drug gonadotropin. It is suitable for female patients with fertility retention. At the same time, women can also use herbal treatment to promote blood circulation and remove blood stasis, such as Fuyan Pill, which can better relieve the symptoms of excessive menstruation and dysmenorrhea. And it is made of natural plants, safe and effective. 2. Surgical treatment Adenomyosis's radical treatment is a total hysterectomy. People can not imagine the importance of the uterus to a woman's body. A hysterectomy will cause particular trauma to women's psychology and body and cause ovarian function decline, vaginal shortening, urinary incontinence, and other problems. Therefore, total hysterectomy is generally suitable for patients with severe clinical symptoms, no fertility desire, and older age. Besides, laparoscopic endometrial exfoliation, hysterectomy, and presacral neurotomy can also improve patients' clinical symptoms with adenomyosis. It can enhance pregnancy probability and it is suitable for women who do not want to take a hysterectomy but have no oral medication effect. However, it should be noted that this kind of conservative surgery is easy to relapse after the operation. The patient still needs to continue the hysterectomy when has the condition of secondary dysmenorrhea. Adenomyosis: impact on fertility 1. Tubal obstruction Adenomyosis is an inflammatory reaction of aseptic peritoneum. The natural killer cells in the body, macrophages, growth factors and activation factors easily lead to changes in the abdominal cavity environment. The inflammatory reaction exudate will lead to ovarian and oviduct adhesion and blockage. Patients will be infertile and have abdominal shape pain, low fever, and other symptoms due to tubal obstruction. 2. The environment of the uterine cavity became worse A large number of clinical studies have shown that patients with adenomyosis have dysfunction of myometrium and endometrium. Because of the endometriosis transplantation into the myometrium, the myometrium hypertrophy and thickening, at the same time, the morphology of the uterus changes, such changes in the uterine cavity environment will interfere with the combination of eggs and sperm and the implantation of fertilized eggs. Besides, if patients with adenomyosis can not get treatment for a long time, the myometrium may have different degrees of fibrosis, and the receptivity of the endometrium will also decline. Abnormal endometrial blood flow and thickness are not conducive to embryo implantation, affect fertility and cause female infertility. In short, adenomyosis will affect women's fertility and quality of life and may lead to malignant transformation. Therefore, it is necessary for women of childbearing age to do a good job in prevention and treatment. In dysmenorrhea, abnormal menstrual blood volume, and irregular vaginal bleeding, carry out timely medical treatment.