What is the best treatment for adenomyosis?

There are several treatment options for adenomyosis, depending on the severity of symptoms, the woman's age, and her reproductive plans. Some common treatment options include:

1. Medications:

- Pain relievers: Over-the-counter or prescription pain relievers, such as ibuprofen or naproxen, can help reduce pain associated with adenomyosis.

- Hormonal therapy: Birth control pills, hormone rings, patches, and injections can help regulate the menstrual cycle and relieve symptoms of adenomyosis.

- Gonadotropin-releasing hormone (GnRH) agonists: These medications, such as leuprolide acetate (Lupron) and triptorelin (Trelstar), can temporarily stop the menstrual cycle and shrink the uterine lining.

2. Minimally Invasive Procedures:

- Uterine artery embolization (UAE): This procedure involves blocking the blood supply to the uterus, causing the adenomyosis to shrink and reducing symptoms.

- High-intensity focused ultrasound (HIFU): This non-invasive procedure uses ultrasound energy to target and destroy adenomyosis tissue.

3. Surgical Treatment:

- Hysterectomy: This surgery involves the removal of the uterus, which is the definitive treatment for adenomyosis. It may be recommended for women who have severe symptoms and do not wish to have more children.

- Myomectomy: This surgery involves the removal of adenomyosis tissue while preserving the uterus. It may be an option for women who wish to retain their reproductive function.

The choice of treatment will depend on various factors and should be discussed with a healthcare provider who can recommend the most appropriate approach based on the individual woman's circumstances and preferences.