12 doctors weighed in:

What is the treatment for adenomysis? I am 41 single and remove my uterus fibroid once and twice for ovary cyst

12 doctors weighed in
Dr. Dennis Higginbotham
Obstetrics & Gynecology
6 doctors agree

In brief: Hysterectomy

Adenomyosis is endometriosis in the wall of the uterus.
Symptoms of adenomyosis can include heavy bleeding, severe dysmenorrhea, pain with intercourse, and uterine enlargement. Sometimes the sypmtoms of adenomyosis are treatable with oral contraceptives and over the counter pain medications, but the definitive treatment is hysterectomy.

In brief: Hysterectomy

Adenomyosis is endometriosis in the wall of the uterus.
Symptoms of adenomyosis can include heavy bleeding, severe dysmenorrhea, pain with intercourse, and uterine enlargement. Sometimes the sypmtoms of adenomyosis are treatable with oral contraceptives and over the counter pain medications, but the definitive treatment is hysterectomy.
Dr. Dennis Higginbotham
Dr. Dennis Higginbotham
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2 comments
Dr. Wesley Grootwassink
I agree with Dr. Higginbotham. I have also found that the Mirena can help with some symptoms
Dr. John Lipman
Uterine artery embolization (UAE) has also been shown to be effective in treating adenomyosis. The clinical success 1 year post-procedure is not as high as it is for fibroids (~70% vs. 90%) but allows women who want to avoid hysterectomy a very reasonable alternative.
Dr. Sheila Goodman
Obstetrics & Gynecology
2 doctors agree

In brief: Symptoms or surgery

Adenomyosis is a condition in which the gland cells of the lining of the uterus get into the muscle layer of the uterus.
It can cause heavy, painful periods, pelvic pain and pain with sex. The treatments are trying to control symptoms with birth control pills or other hormones or removal of the uterus.

In brief: Symptoms or surgery

Adenomyosis is a condition in which the gland cells of the lining of the uterus get into the muscle layer of the uterus.
It can cause heavy, painful periods, pelvic pain and pain with sex. The treatments are trying to control symptoms with birth control pills or other hormones or removal of the uterus.
Dr. Sheila Goodman
Dr. Sheila Goodman
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Dr. John Lipman
Radiology
1 doctor agrees

In brief: Perhaps UAE

Uterine artery embolization (uae) can be performed to relieve symptoms in women with adenomyosis.
While definitive treatment is hysterectomy, i assume because you were 41 and single you were looking for non-surgical approach. Success rate for uae with adenomyosis is not as high as it is for uterine fibroids (70% vs. 92%), however that is still very respectable and may allow you to avoid surgery.

In brief: Perhaps UAE

Uterine artery embolization (uae) can be performed to relieve symptoms in women with adenomyosis.
While definitive treatment is hysterectomy, i assume because you were 41 and single you were looking for non-surgical approach. Success rate for uae with adenomyosis is not as high as it is for uterine fibroids (70% vs. 92%), however that is still very respectable and may allow you to avoid surgery.
Dr. John Lipman
Dr. John Lipman
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Dr. Christopher Powers
Obstetrics & Gynecology
1 doctor agrees

In brief: Several

Adenomyosis, which occurs when the cells lining the inside of your uterus find their way among uterine muscle cells, if it causes a problem, causes excessive bleeding and menstrual pain.
Often treated successfully medically (birth control pills, tranexamic acid, nonsteroidals), but just as often requires surgery. Surgery can range from endometrial ablation to hysterectomy. See your obgyn.

In brief: Several

Adenomyosis, which occurs when the cells lining the inside of your uterus find their way among uterine muscle cells, if it causes a problem, causes excessive bleeding and menstrual pain.
Often treated successfully medically (birth control pills, tranexamic acid, nonsteroidals), but just as often requires surgery. Surgery can range from endometrial ablation to hysterectomy. See your obgyn.
Dr. Christopher Powers
Dr. Christopher Powers
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Dr. Dennis Higginbotham
Board Certified, Obstetrics & Gynecology
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