Should Women Treat Adenomyosis After Menopause?

Adenomyosis is a common uterine disease in women in gynecology. The incidence of the population has increased every year, and the age of the patients is also relatively wide, mainly in the 30-50 years older adults. Adenomyosis is a particular type of endometriosis. There are many ways to treat it. For patients with mild symptoms and fertility requirements, danazol, gestrinone, or GnRH-a (gonadotropin-releasing hormone agonist) can alleviate the symptoms. However, the symptoms will appear again immediately after stopping the drug. Fortunately, the herbal medicine Fuyan Pill can alleviate symptoms, improve patients' resistance, and reduce the possibility of recurrence. At the same time, it can clean up the uterus's environment and increase the natural pregnancy chance. Total hysterectomy should be considered for patients with severe symptoms, no fertility requirements, or no effect of drug treatment. Ovarian preservation depends on the presence or absence of ovarian lesions, age, and requirements of patients.rnMany patients with adenomyosis believe that menopause is a self-healing method. So every adenomyosis patient wants to be postmenopausal immediately. However, the reality is that people with adenomyosis will appear in late menopause, and some even have symptoms after menopause. When will adenomyosis patients have menopause? The menopausal age of normal women is generally about 50 years old, but the menopausal time of women with adenomyosis is usually delayed by 2-3 years. As far as we know, many adenomyosis patients still have menstruation when they are 54 years old. Late menopause in adenomyosis patients is related to abnormal hormone levels in patients. Adenomyosis is a hormone-dependent disease. Therefore, a high hormone level is an inducement of adenomyosis. At the same time, the increased hormone level will lead to late menopause. Can adenomyosis disappear after menopause? Women with adenomyosis in their postmenopausal period generally do not have symptoms. They will not have pain because of no menstruation, focus can slowly atrophy and become small, and the uterus can also shrink. However, for patients with adenomyosis, the lesions will not disappear with menopause. The ovary is not the only organ in the body that produces estrogen. The adrenal gland is another source of hormones after menopause, so there is still enough estrogen in the body to stimulate endometrial hyperplasia after menopause. Further, these endometria eventually become independent tissue unaffected by any endocrine. Should adenomyosis be treated or not after menopause? After menopause, whether patients with adenomyosis should receive treatment depends on whether there are two manifestations. After menopause, the uterus did not shrink significantly and continued to increase. It's unsafe after menopause because the lesion is still in the uterus. Women need to do a B-ultrasound regularly to see if the uterus size has changed. a. For example, the uterus with a size of more than 6-7 cm will gradually become smaller after menopause. If there is no pain, women only need to check it regularly and check B-ultrasound 2 or 3 times a year. b. Patients cannot relax their vigilance if the uterus does not shrink but continues to grow to more than 10 cm. B-ultrasound should be done regularly to check the uterus because there may be some cancer after menopause. CA125 increased suddenly and obviously CA125 is a tumor marker. If the previous examination of CA125 is dozens or below 200 range, but the postmenopausal examination suddenly rose to the hundreds, or thousands, it is not a good phenomenon. In short, although the probability of adenomyosis canceration is only 1% - 2%, there are indeed cases of canceration in clinics. Therefore, if there are the above two cases after menopause, women must not take them lightly and be alert to cancer.