1, pseudomenopause therapy: drug-induced ovarian resection or drug-induced pituitary resection, which is suitable for narrowing the lesion before operation and reducing postoperative recurrence. GnRHa injection can make the hormone level in the body reach menopause, make the ectopic endometrium shrink gradually, and play a therapeutic role. GnRHa can obviously shrink the uterus and reduce the risk and difficulty of operation.
2. Chinese medicine treatment: Chinese medicine believes that adenomyosis is related to internal resistance of blood stasis, and the formation of blood stasis is related to pathogenic factors such as qi deficiency, cold coagulation, qi stagnation and phlegm-dampness. Treatment should not only be based on the principle of promoting blood circulation and removing blood stasis, but also take into account the causes of blood stasis and the difference between deficiency and excess.
3. Symptomatic treatment: Non-steroidal anti-inflammatory drugs such as fenbid, indomethacin or naproxen are given during dysmenorrhea.
4, pseudopregnancy therapy: oral contraceptives or progesterone make ectopic endometrium decidualize and shrink to control the development of the disease.
5. IUD: IUD containing high-efficiency progesterone can control the development of ectopic focus through local sustained release of progesterone, and it needs to be removed or replaced after five years.
Work Plan of the Ministry of Health Care in 2023 1
Although spring has come, the weather is still cold and windy. In t