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Hello Anon
Thank you for writing.
What is best for one woman is not for another. You will need to discuss details with your doctor.
Treatment options for adenomyosis include:
Anti-inflammatory drugs. If you're nearing menopause, your doctor may have you try anti-inflammatory medications, such as ibuprofen (Advil, Motrin, others), to control the pain.
Hormone medications. Controlling your menstrual cycle through combined estrogen-progestin oral contraceptives or through hormone-containing patches or vaginal rings may lessen the heavy bleeding and pain associated with adenomyosis.
The definite cause of adenomyosis is not known – although doctors have several theories. Some experts believe that when women have a uterine incision (such as during a C-section), this introduces endometrial cells into the walls of the uterus. Others say that this condition could have developed when the female fetus was first forming. Lastly, some say that after labor and delivery, when there is a break in the normal boundary of the cells that line the uterus, that this disorder could have developed then.
What is known, is that adenomyosis typically goes away after menopause. So the treatment a woman chooses usually depends on how close she is to this period of her life.
If you are close to menopause, your doctor will recommend only pain medications. The best thing to do is start taking meds a few days before your cycle begins. Another alternative treatment option is hormone medications, such as oral contraceptives, which may be a combined estrogen-progestin or progestin-only contraceptive. And for the most extreme pain (and if menopause is years away), the last option is a hysterectomy.
You might want to discuss this with your doctor or get a second opinion from another physician.
August 10, 2017 - 6:00amBest,
Susan
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