Article

Adenomyosis in a Postmenopausal Woman: May Still Exist

Topic: Women's IssuesPublished January 4, 2023

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Many patients should suffer from adenomyosis and want to wait until after menopause to let it heal, but will it heal by itself? Some postmenopausal patients will ask, "I'm postmenopausal; why isn't adenomyosis getting better?", Next, let's see. Adenomyosis is a common disease in women, which may cause some harm to women. It is a benign disease. The uterus's glands and stroma invade the uterus's myometrium, causing the uterus's grass-roots cells to increase and proliferate to varying degrees, resulting in uterine enlargement, abdominal pain, and increased menstruation and other symptoms. These symptoms are mainly related to the periodic changes in hormones in women. When the hormone level is low after menopause, the symptoms caused by adenomyosis will disappear and generally will not affect women's life. However, due to the progressive aggravation of the disease, increasing menstrual volume can lead to anemia in patients. More seriously, if the patient's adenomyosis is severe and the uterus is significantly enlarged, it may cause infertility. Therefore, for most patients, adenomyosis needs regular treatment. Consequently, it is recommended to go to the hospital for a comprehensive review to clarify the situation and choose the appropriate treatment. Of course, some patients have mild conditions, and the lesions may shrink after menopause. It is because adenomyosis is an estrogen-dependent disease. The ovaries no longer secrete estrogen after menopause, and the estrogen in the body is at a low level for a long time, resulting in reduced adenomyosis lesions, symptoms, and even recovery. Adenomyosis does not affect patients' daily life after menopause. But they must regularly go to the hospital for reexamination to avoid causing other diseases. However, for patients with serious adenomyosis, the focus will not disappear with the menopause of women. They must go to a professional hospital for treatment as soon as possible after diagnosis of adenomyosis. Why doesn't adenomyosis disappear with menopause? Because the endometrium is usually stimulated by estrogen and continues to develop, the focus of adenomyosis is usually because the endometrium grows too much and invades the myometrium. Doctors pointed out that some people think that adenomyosis will not occur again after menopause, but in fact, it is not the case. For example, the focus of severe adenomyosis will continue to be active after menopause because other organs in the body constantly secrete hormones, which makes the endometrium continue to grow and produce pain. So, how to treat adenomyosis? 1. Medication Symptomatic treatment. Symptomatic treatment. Patients with mild symptoms can try danazol, gestrinone, or gonadotropin-releasing hormone agonists, which can alleviate symptoms. However, they need to pay attention to the side effects of drugs, and the symptoms can recur after withdrawal.rnAnd adenomyosis is a chronic disease. Taking some painkillers for a long time may cause some damage to the body. Choosing traditional Chinese medicine Fuyan Pill will have more advantages. It can eliminate patients' pain and other menstrual symptoms. Also, it is made of more than 50 pure natural plants, which will not adversely affect the body. Suppose women have no fertility requirements for the time being. In that case, they can choose the contraceptive device containing high-efficiency progesterone, which can effectively inhibit the continuous attack of the disease, and the harm is not particularly serious. 2. Surgical treatment Surgical treatment includes radical surgery and conservative surgery. If the patient does not have a fertility requirement and the lesions are relatively extensive, conventional medicine has no effect, and total hysterectomy is the first choice to avoid residual lesions. And partial hysterectomy is generally not recommended. Suppose patients have fertility needs and diffuse lesions. In that case, they should choose lesion resection, which can also effectively reduce the deterioration of the disease, but it is unknown whether there will be seizures in the later stage. Adenomyosis is a common disease in women. This disease may cause some harm to women. Some people have heard that menopause will be beneficial to this disease. Indeed, after menopause, this disease will slowly shrink, but there are a few cases that may not shrink, and there will still be some symptoms. In conclusion, whether adenomyosis can improve after menopause is usually related to the severity of the disease. Some patients with mild conditions may have decreased or disappeared estrogen secretion due to menopause, so the ectopic endometrial lesions atrophy or slowly disappear. For patients with severe disease, if the lesion causes the uterus to increase significantly and is five months old, even if there is no estrogen secretion after menopause and the lesion shrinks, it is impossible to restore the uterus to normal completely. Such patients are usually recommended to seek medical treatment actively.

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