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Adenomyosis – Treatments and Medications

Menopause is the natural cure for adenomyosis. Hence, treatment and medications for adenomyosis depends on how close you are to menopause, how serious and debilitating are your symptoms, and if you have completed your childbearing.

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Treatments and Medications for Adenomyosis

New York (USA), June 29, 2013

Treatments Options and Medications for Adenomyosis

Menopause is the natural cure for adenomyosis. Hence, treatment for adenomyosis depends on how close you are to menopause, how serious and debilitating are your symptoms, and if you have completed your childbearing.

Treatments and drugs for adenomyosis include:

Anti-Inflammatory Drugs: Anti-inflammatory medications like ibuprofen (Advil, Motrin IB) and nonsteroidal anti-inflammatory drugs or NSAIDs provide relief from mild pain common with adenomyosis. You start these medications two to three days before start of your menstrual periods and continue taking them for first few days of your periods. This helps reduce menstrual flow and pain. Doctors prescribe these medications if you are close to menopause or if you suffer mild pain only.

Hormonal Medications or Therapy: Estrogen-progestin oral contraceptives, vaginal rings, and hormone patches are effective at reducing heavy menstrual flow and associated pain. Sometimes intrauterine device containing progestin, GnRH analogs, aromatase inhibitors, or continuous use of birth control pills can stop menstrual periods temporarily leading to amenorrhea. This provides relief from most symptoms. IUDs or Intra Uterine Device offer short-term relief from most symptoms of adenomyosis. They also cause side effects like irritation of the uterus and weight gain. Natural progesterone cream helps balance hormone levels.

Endometrial Ablation: If your adenomyosis has not penetrated deep into uterus muscle walls, endometrial ablation helps destroy lining of uterus. This can remove only surface endometrial tissue. Any tissue grown or growing within muscle lining cannot be absolved with this procedure. This tissue remains and continues to cause pain.

Uterine Artery Embolization: A tiny tube is inserted into vagina through the cervix and miniscule particles are guided through this tube to reach blood vessels that supply blood to adenomyosis. When blood supply dries off, adenomyosis shrinks.

Hysterectomy: If adenomyosis is causing you agonizing pain and heavy menstrual bleeding and menopause is not in the near future, doctors remove your uterus surgically. This is hysterectomy. This is opted as a solution only if no other treatment option can be adopted as it has many long-term side effects. Removing ovaries is however not essential to control adenomyosis.

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Written By:
Dr. Marilyn Thompson