Q I was told I have both adenomyosis and endometriosis. How are the two treated together?
A Both conditions are based on blood stasis and estrogen imbalance, so their treatment directions overlap, but the depth of muscle-layer invasion in adenomyosis must be addressed more intensively. We manage both lesions together by combining hormone therapy and Korean medicine.
Detailed Answer
Adenomyosis and endometriosis both involve endometrial tissue straying from where it should be, and they share the trait of being estrogen-dependent. When the two overlap, severe pain and heavy bleeding tend to become worse. In OB-GYN, the two lesions are often addressed together with hormone therapy (GnRH agonists, Mirena) or laparoscopic surgery. Because the muscle-layer invasion of adenomyosis is difficult to remove surgically, it must be continued conservatively along with hormone management.
Korean Medicine Clinic Perspective
At the clinic, we understand the two conditions as states in which blood stasis is congealed at different depths. To dissolve both the blood stasis outside the uterus (endometriosis) and the blood stasis within the uterine muscle layer (adenomyosis), we adjust the intensity of warming-the-womb and blood-activating, stasis-resolving treatment. Because we are addressing the deeper muscle-layer blood stasis, treatment can take longer, but we proceed carefully in a direction where pain and bleeding decrease together.
Related FAQs
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Q
Can adenomyosis only be cured by removing the uterus? Can the symptoms be controlled while preserving the uterus?
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I have both adenomyosis and uterine fibroids. Is it more dangerous to have both together?
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How should I manage adenomyosis in daily life? Is there more to it than just keeping warm?
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Is it okay to exercise with adenomyosis? How should I exercise when the pain is severe?
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My periods are so heavy from adenomyosis that I feel dizzy and short of breath. How dangerous is it if the anemia gets worse?
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