Is Adenomyosis Treatment Necessary After Menopause?

Adenomyosis is a common disease in women, which causes specific harm to women. Some people have heard that menopause can be beneficial for the disease. Indeed, when menopause begins, the condition will gradually shrink so that there is no need to continue treatment. But is this the case for all patients?

When menopause begins in patients with adenomyosis, there will be two situations. One is that the symptom of dysmenorrhea disappears with the arrival of menopause. Another case is that the patient still has lower abdominal pain even after menopause.

For patients whose symptoms disappear after menopause, the reasons are as follows. Adenomyosis is a hormone-dependent disease. Estrogen may aggravate the course of adenomyosis. In women of childbearing age, that is, before menopause, adenomyosis will gradually worsen. However, when menopause starts, the ovaries stop secreting hormones, and the hormone-dependent disease of adenomyosis will be progressively relieved or even cured. That requires a long process.

For patients who still have pain after menopause, they feel pain because their uterus is larger. As there is more inflammation on the uterus, its compression causes the uterus to be larger than the average woman's uterus. Even if the patient does not have menstruation, there is still inflammation in the body, which is difficult to disappear, tormenting the patient and making them feel unbearable.

Therefore, patients with adenomyosis, regardless of starting menopause, should receive treatments to avoid deterioration of the condition.

So, what treatments are feasible for patients with adenomyosis?

1. Medication
(1) For patients with mild symptoms, non-steroidal anti-inflammatory drugs such as Fenbid, indomethacin, or naproxen can be selected to eliminate pain and treat symptomatically.

(2) Patients can choose pseudo-pregnancy therapy. For patients with no fertility requirements and having forthcoming menopause, oral contraceptives or progesterone can result in ectopic endometrial decidualization and atrophy and play a role in controlling the development of adenomyosis.

(3) Patients with adenomyosis can be treated with herbal medicine. Patients can take herbal medicine Fuyan Pill to eliminate inflammation, sterilize and relieve pain. When combined with chemical medication or surgical treatment, it can effectively alleviate patients' pain.

2. Surgical treatment
Surgical treatment includes radical surgery and conservative surgery. Radical surgeries include hysterectomy, while conventional surgery includes adenomyomectomy, endometrial and myometrial resection, myometrial electrocoagulation, uterine artery occlusion, presacral neurectomy, and sacral neurectomy.

As a common gynecological disease, adenomyosis brings great pain to women. Paying more attention to the following aspects of daily life is of great help to reduce the condition of adenomyosis.

1. Patients should maintain an optimistic attitude. A lousy mood directly impacts the disease when the psychological pressure is too great. Patients should avoid being sullen; otherwise, it will lead to endocrine disorders and cause the further development of the disease.

2. Patients should adjust their diet eat more foods containing protein and vitamins. Patients should pay attention to diet nutrition, eat more fresh vegetables and fruits, drink more water, and forbid seafood, spicy, sweet food, tobacco, and alcohol. Such a diet can enhance the patient's physique and facilitate the recovery of adenomyosis.

3. Patients should release endocrine disorders. Endocrine disorders, due to various reasons, should be actively treated.

4. Patients should avoid induced abortion. A higher number of induced abortions will lead to aggravation of adenomyosis. They should also avoid too many uterine operations.

5. Patients should go to the hospital for regular review. If adenomyosis is diagnosed, patients should be reviewed once every three to six months.

To sum up, postmenopausal adenomyosis does not need treatment, which is not entirely correct. Patients with adenomyosis inflammation when menopause starts should not think of it as a fluke but should receive professional treatment until the symptoms are eliminated.