Conservative Treatment of Adenomyosis

GE Jun; HAN Yao-wei; ZHOU Li-jun

Abstract：In recent years, the incidence of adenomyosis has shown a rising trend year by year and diversified clinical manifestations have been observed. Treatments for adenomyosis include high intensity focused ultrasound drug therapy, hysterectomy, uterine artery embolization, levonorgestrel releasing intrauterine system (LNG-IUS), endometrial stripping technique, etc. Recently, the effect of drug treatment is obvious, but it is easy to relapse after drug withdrawal. Removal of the uterus often leads to the loss of fertility. Uterine artery embolization is difficult to operate with a lot of factors influencing the curative effect; LNG-IUS had the characteristics of surgery-free and good compliance, but some patients may have the problems such as bleeding, etc.;Endometrial stripping operation has confirmable effect, but the side effect is also relatively bigger;therefore, various treatment methods all have some limitations. The conservative method to be employed in women with adenomyosis has become the topic that clinicians generally care about. With the increasingly high expectation of patients on saving their uterus, there have been many cases of conservative method for adenomyosis in clinical practices. Review on the conservative treatment methods of adenomyosis.