What are the treatment options for adenomyosis?

Adenomyosis occurs when tissue similar to the womb lining grows into the muscular wall of the womb. This can contribute to painful periods, pressure, and heavy bleeding. A clinician may first review your bleeding pattern, pain, blood count, scans, pregnancy plans, and other causes of symptoms.

Tranexamic acid can reduce menstrual blood loss for some people when taken during heavy bleeding. Pain medicines may also be discussed. A hormonal coil releases hormone inside the womb and may reduce bleeding and cramps. These treatments manage symptoms; they do not suit everyone.

If symptoms continue, options may include endometrial ablation, which treats the womb lining, or uterine artery embolisation, which reduces blood flow to areas of adenomyosis. Their suitability depends on womb findings and whether you may want a future pregnancy.

A hysterectomy removes the womb and is a definitive surgical option for people who do not want to become pregnant. Discuss recovery, effects on fertility, and whether the ovaries would remain. Review the condition overview for background on adenomyosis.

Arrange prompt medical assessment for bleeding that is soaking through protection repeatedly, dizziness, fainting, unusual weakness, or severe pelvic pain. Seek urgent help for sudden severe pain, collapse, or bleeding that feels unmanageable. Heavy bleeding can lead to anaemia, so ask about a blood count if you feel exhausted or short of breath.

Ask which treatment best fits your bleeding and pain, whether you need imaging or a blood count, how each option affects fertility, and what recovery would involve. Also ask what to do if symptoms return or treatment does not help.