Treatment Options for Adenomyosis. Treatment for adenomyosis depends on symptom severity, age, and desire for future pregnancies. There is no permanent cure other than hysterectomy, but many medical and surgical treatments can manage symptoms effectively.
Medical Management
- Hormonal therapy
- Birth control pills, IUDs with levonorgestrel (e.g. Mirena), or GnRH analogues can reduce bleeding and pain.
- NSAIDs
- Non-steroidal anti-inflammatory drugs for cramp relief.
- Iron supplements
- Help manage anaemia caused by blood loss.
Treatment Options for Adenomyosis
Surgical Options
- Uterine artery embolisation (UAE)
- Minimally invasive; cuts off blood supply to affected tissue.
- Endometrial ablation
- Destroys the lining of the uterus; not ideal if adenomyosis invades deep muscle.
- Hysterectomy
- Complete removal of the uterus. This is the only definitive cure, typically reserved for women who have completed childbearing and suffer from severe, persistent symptoms.
In South Africa, access to all treatments varies by location. In the public system, options may be limited to pain control and eventual hysterectomy, while private sector patients may access a wider range of interventions.
🔹 Next → [Living With Adenomyosis – Support and Lifestyle Tips]
Symptoms and Warning Signs of Adenomyosis
Diagnosis and Medical Imaging of Adenomyosis
