Adenomyosis surgery is a treatment option for individuals with severe symptoms that don't respond to other treatments. The most common surgical options for adenomyosis include:
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Hysterectomy: This is the most definitive treatment for adenomyosis, involving the removal of the uterus. In some cases, the ovaries may also be removed (oophorectomy).
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Endometrial Ablation: This procedure aims to destroy the lining of the uterus (endometrium), which can help alleviate symptoms. It is not suitable for women who wish to retain fertility.
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Myomectomy: While primarily used for fibroids, this surgery can sometimes be used to remove adenomyosis from the uterus, particularly when the adenomyosis forms a distinct mass (adenomyoma).
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Uterine Artery Embolization (UAE) or Uterine Artery Occlusion: These procedures involve blocking the blood vessels that supply the uterus, which can help reduce symptoms.
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Laparoscopic Excision: This minimally invasive surgery involves removing areas of adenomyosis through small incisions in the abdomen.
The choice of surgery depends on various factors, including the severity of symptoms, the desire for future fertility, and the extent of the adenomyosis. It's important to discuss the risks and benefits of each option with a healthcare provider to determine the most appropriate treatment plan.
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