Q I was advised to have a hysterectomy, but I'm terrified. Is there any other way? Can I manage the symptoms without surgery?
A Symptoms can be managed without a hysterectomy using options such as the Mirena, hormone therapy, and uterine artery embolization. If you have no plans for pregnancy and symptoms are severe, surgery can be a definitive solution, but the closer you are to menopause, the more conservative management comes first.
Detailed Answer
The only cure for adenomyosis is a hysterectomy, but there are conservative options for managing symptoms. The Mirena (intrauterine device) greatly reduces bleeding and remains effective for five years. Hormone therapy (GnRH agonists, progestins) can suppress lesion activity. Uterine artery embolization (UAE) is a procedure that blocks blood flow to the lesion while preserving the uterus and is effective in some patients. It is important to discuss thoroughly with your doctor, taking into account your pregnancy plans, symptom severity, and the time remaining until menopause.
Korean Medicine Clinic Perspective
At the clinic, we do not pressure you toward surgery or try to replace it. Rather, during the period of conservative management, our role is to dissolve blood stasis and restore uterine warmth so that pain and bleeding do not disrupt daily life. Working together with those who wish to manage their symptoms while preserving the uterus as much as possible, and building a realistic plan together, is the direction of Dongjedang.
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