What is the definitive treatment of adenomyosis?

Adenomyosis occurs when tissue resembling the uterine lining grows into the muscular wall of the uterus. It may contribute to heavy periods, painful periods, or pelvic pain. Definitive surgery ends uterine bleeding and removes the adenomyosis, but it ends the ability to carry a pregnancy. The ovaries may or may not be removed, depending on the person's situation; this is a separate decision that should be discussed.

If future pregnancy matters, discuss that before choosing surgery. A hormonal coil, medicines, endometrial ablation, or uterine artery embolisation may help selected people, but their suitability and effects on fertility differ. A gynaecologist can review symptoms, imaging, bleeding impact, anaemia concerns, and personal priorities before recommending a plan.

Arrange medical review for bleeding that disrupts daily life, pain that is difficult to control, or tiredness and breathlessness that could accompany blood loss. Seek urgent help for very heavy bleeding with dizziness, fainting, chest discomfort, or severe worsening pelvic pain.

Ask which options match your fertility plans, whether the ovaries would remain, what recovery involves, and how persistent bleeding or pain would be managed if surgery is deferred.