Q Can adenomyosis only be cured by removing the uterus? Can the symptoms be controlled while preserving the uterus?
A A hysterectomy is the only cure for adenomyosis, but there are various ways to manage pain and bleeding while preserving the uterus. Depending on your pregnancy plans, the time remaining until menopause, and symptom severity, conservative treatment can be a realistic choice.
Detailed Answer
In adenomyosis, the uterus itself is the lesion, so a hysterectomy is the definitive treatment. However, if you have plans for pregnancy or want to preserve your uterus, symptoms can be managed with conservative methods such as the Mirena, hormone therapy, uterine artery embolization (UAE), or high-intensity focused ultrasound (HIFU). Rather than complete elimination of pain or normalization of the uterus, the realistic goal is to manage pain and bleeding to a level that allows daily life. The closer you are to menopause, the more you can expect natural improvement, making conservative treatment an even more reasonable choice.
Korean Medicine Clinic Perspective
At the clinic too, rather than a cure, the goal is to keep the blood stasis from progressing further in the muscle layer and to create a state in which pain and bleeding do not disrupt daily life. If you clearly express your wish to preserve the uterus, we design a realistic treatment plan to match, coordinating it together with your OB-GYN treatment. Setting realistic expectations together and managing it steadily is the direction of Dongjedang.
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