Adenomyosis

• Non-steroidal anti-inflammatory drugs (NSAIDs), which may soothe menstrual cramps.
• Birth control pills, may lighten menstrual flow and can also help reduce discomfort.
• Hormone-containing intrauterine device (IUD), which contains the hormone levonorgestrel, can ease cramps and lighten menstrual blood flow. Insertion of a hormone-containing IUD may also help shrink the uterus to shrink to a more normal size.
• Danazol, a medication that suppresses the pituitary gland’s creation of certain hormones, such as FSH. This may reduce pain and lighten menstrual flow.
• Gonadotropin-releasing hormone agonists, a class of medication that triggers the ovaries to stop producing hormones, can help reduce menstrual flow and pain.

These medications should not affect a woman’s ability to become pregnant, although it may take longer for women to conceive after they stop taking gonadotropin-releasing hormone agonists.

• Endometrial ablation, which destroys the inner lining of the uterus, either with heat, cold, or radiofrequency. Once the lining has been removed, women experience lighter periods or, in some cases, no more menstrual bleeding. Pregnancy is no longer possible after this procedure. It’s important to note that endometrial ablation does not improve the pain associated with adenomyosis.
• Uterine artery embolization, which blocks the blood supply to the lining of the uterus. This results in lighter menstrual periods and less discomfort. The procedure also affects fertility and shouldn’t be performed on someone who wants to become pregnant.
• Focal Resection of adenomyosis, is a robotic-laparoscopic procedure used when adenomyosis is in a section of the uterus. This procedure is an option that could be used to preserve the uterus.
• Hysterectomy, or removal of the uterus, may be recommended for those with severe symptoms. Removing the uterus eliminates all symptoms of uterine adenomyosis, but also means a person can no longer get pregnant.