Adenomyosis, Obstetrics and Gynecology FAQ

Understanding Uterine Adenomyosis: Causes, Symptoms, and Complications

Uterine adenomyosis What is "uterine adenomyosis"? What problems can it cause?

Dr. Chen Changfu Reply:
In the age of the internet, please search for "uterine adenomyosis" on your own, and you will find a wealth of information available for reading, without the need for my elaboration.

Post-Surgery Care: Understanding Darunavir Use and Recovery Timeline

Postoperative Hello: I underwent a total hysterectomy on July 18 due to uterine adenomyosis, endometrial hyperplasia, and fibroids, which caused significant bleeding. The doctor prescribed Darnel capsules for 6 months due to concerns about possible endometrial remnants in the ova...

Dr. Huang Jianxun Reply:
If there are any unclear areas, it is advisable to consult your attending physician again. Establishing consensus and trust between the doctor and patient is essential for enhancing confidence in the treatment.

Managing Uterine Fibroids: Dietary Tips and Hormonal Considerations

Uterine leiomyoma Hello, a few years ago I underwent surgery for uterine fibroids, but during a recent follow-up, I was informed that they have grown back. The doctor mentioned that fibroids can be a series of growths and that they do not go away completely. I would like to know ...

Dr. Li Guanghan Reply:
Hello: 1. Adenomyosis is not related to diet. 2. Estrogen medications have a stimulating effect on adenomyosis. Hsinchu City Hospital, Department of Obstetrics and Gynecology.

Understanding Abdominal Pain During Menstruation: Causes and Concerns for Women

Lower abdominal pain (women) Hello Doctor, I have a question regarding my wife. Every month, she experiences her menstrual period, but in recent months, she has been experiencing abnormal pain in her uterus when her period arrives. This pain is something she has not experienced...

Dr. Yan Mingxian Reply:
Dear Sky netizen, hello: This situation is likely to be endometriosis or adenomyosis. It is advisable to first visit a gynecologist for a detailed examination.

Uterine Removal: A Dual Solution for Anemia and Fibroids?

Hysterectomy and Treatment of Anemia! Hello Doctor, I underwent a series of gynecological examinations at the obstetrics and gynecology department. Apart from an elevated CA-125 tumor marker level, which is #64 (normal range: 0-35), all other results were normal. However, I late...

Dr. Li Guanghan Reply:
Hello: 1. Uterine fibroids and adenomyosis do not necessarily require surgery, but if there is anemia, choosing surgery is reasonable. However, if there is still a possibility of fertility or if you cannot psychologically accept becoming a woman without a uterus, you may also cho...

Understanding Treatment Options for Adenomyosis: Insights on High-Pressure Oxygen and GnRH Agonists

I would like to inquire about the treatment options for adenomyosis? Hello Doctor, I would like to ask you the following questions: 1. Does hyperbaric oxygen therapy help reduce the size of adenomyosis, eliminate it, or improve the condition? 2. Regarding the treatment with Gn...

Dr. Li Guanghan Reply:
Hello: 1. I am not aware of any studies using this method for treatment, but the medical center where I was trained and the hospital where I currently work do not utilize it. 2. The action of this medication is to suppress the central nervous system, preventing it from signaling ...

Excessive Menstrual Bleeding: Beyond Just Hemostatic Medications?

Gynecological issues - Is it only possible to take hemostatic medication for excessive menstrual bleeding? Hello Doctor: I was referred to a gynecologist by my family medicine physician due to anemia (with a ferritin level of 2.83). The gynecologist at another clinic suggested th...

Dr. Li Guanghan Reply:
Hello: 1. I often prescribe similar medications; you should consult your attending physician regarding the dosage. 2. This type of prescription can reduce menstrual flow, rather than preventing menstrual discharge. 3. For excessive menstrual bleeding, it is important to check for...

Effective Strategies to Alleviate Severe Menstrual Pain

Dysmenorrhea..? Doctor: Hello! I experience severe pain every time my menstrual period arrives, and the first two days are particularly heavy. It gradually decreases, but it takes almost two weeks to completely end. I'm not sure if this is normal. What can I do about dysmeno...

Dr. Cao Guotao Reply:
Hello! During menstruation, in addition to menstrual bleeding, some individuals may experience additional symptoms such as abdominal pain, diarrhea, headaches, and lower back pain. Therefore, these can be considered common issues. It is advisable to consult a gynecologist for a g...

Understanding Hormonal Medications and Their Effects on Uterine Adenomyosis

Will taking hormone medication have side effects, and what are the issues related to uterine adenomyosis? For over a year, I have been experiencing severe abdominal pain and lower back discomfort during my menstrual periods. After consulting a doctor, I was diagnosed with mild ad...

Dr. Li Guanghan Reply:
Hello: 1. Adenomyosis can cause the uterine muscle wall to gradually thicken, leading to an enlarged uterus, which can result in dysmenorrhea and increased menstrual bleeding. If it becomes severe enough to cause significant uterine distortion, it can certainly hinder implantatio...

Is Adenomyosis a Direct Complication or Aftermath of Uterine Fibroids?

Is adenomyosis a direct complication or sequela of uterine fibroids? Adenomyosis is not a direct complication or sequela of uterine fibroids. While both conditions involve the uterus and can coexist, adenomyosis is characterized by the presence of endometrial tissue within the ut...

Dr. Li Guanghan Reply:
Hello: Adenomyosis and uterine myoma are two different conditions. Signed by the Department of Obstetrics and Gynecology, Hsinchu Hospital.

Understanding Treatment Options for Adenomyosis: Risks and Benefits

What are the treatment options for adenomyosis? Hello: I have experienced two ectopic pregnancies and have had both fallopian tubes removed. Regarding fertility, that is no longer an option for me. Last week, my doctor informed me that I have moderate to severe adenomyosis, but m...

Dr. Li Guanghan Reply:
Hello: 1. Assisted reproductive technology is now quite common. Even if the fallopian tubes are absent, there is still a chance for in vitro fertilization. May God bless you and do not give up easily. 2. Adenomyosis can indeed lead to heavy menstrual bleeding and dysmenorrhea. Ma...

Can Uterine Removal Due to Adenomyosis Qualify for Major Illness Card?

excuse me? Hello, doctor: My mother previously underwent a hysterectomy due to adenomyosis. Can she apply for a major illness card for the hysterectomy?

Dr. Li Guanghan Reply:
Hello: As far as I know, it is not correct. You may confirm with the National Health Insurance Administration. Hsinchu City Hospital, Department of Obstetrics and Gynecology.

Understanding Uterine Adenomyosis: Post-Surgery Complications and Solutions

Uterine adenomyosis Hello, doctor. I have been experiencing continuous menstrual bleeding for almost three months, and my blood levels have reached a dangerous level. After receiving six blood transfusions, I underwent a curettage for adenomyosis. After the surgery, I was prescri...

Dr. Xu Junzheng Reply:
You should undergo a dilation and curettage (D&C) procedure, which generally only provides temporary control of bleeding. If medication treatment is not effective, surgical intervention should indeed be considered. Thank you!

Understanding Uterine Adenomyosis: Treatment Options and Concerns

Uterine adenomyosis issues? I have been experiencing continuous menstruation for over two months, leading to severe anemia, with my blood levels at one-third of a normal person's. I underwent a uterine adenomyosis curettage surgery in December. After the surgery, the doctor ...

Dr. Li Guanghan Reply:
In my clinic, many women with adenomyosis have had good results with medication management. You are welcome to come for a consultation. Dr. Lee, Department of Obstetrics and Gynecology, Hsinchu Hospital.

Understanding Uterine Fibroids: Diagnosis, Treatment, and Sexual Health Impact

Uterine fibroids Hello, I am unmarried and have no sexual experience. Recently, a gynecologist informed me that I have uterine fibroids or adenomyosis, and it cannot be confirmed without surgery. There are many of them, with the largest being around 11 cm and 5 cm. I would like t...

Dr. Xu Junzheng Reply:
1. Ultrasound sometimes cannot completely differentiate between fibroids and adenomas; however, fibroids are more common at 11 cm, and surgery may be necessary for a size of 11 cm. 2. Fibroids can be removed, but there is a possibility of recurrence; however, for unmarried indivi...

Understanding Adenomyosis: Is Hysterectomy the Right Solution?

Question Hello Doctor: I have three children, but I experience heavy menstrual bleeding that lasts 14 to 20 days. After examination, it was found that I have adenomyosis, which causes this phenomenon. My hemoglobin levels are consistently low, and I often take iron supplements or...

Dr. Li Guanghan Reply:
Hello: Adenomyosis can initially be managed with medication (such as progestins) to alleviate dysmenorrhea and reduce menstrual bleeding; surgery is considered only when medical treatment is ineffective. You are welcome to visit us at Hsinchu City Hospital, Department of Obstetri...

Managing Irregular Menstrual Cycles After Childbirth: A Guide

Irregular menstruation? Since giving birth to my two children (I had a cesarean section), my menstrual cycle has been irregular. I have seen a doctor and have been taking birth control pills for over six months, but I still experience spotting for 15 to 20 days, and my menstrual ...

Dr. Li Guanghan Reply:
Hello: Please come for a consultation to undergo an ultrasound examination, pelvic examination, and Pap smear. If necessary, we will arrange for blood tests and hysteroscopy to determine the cause of your symptoms (such as whether it is adenomyosis, endometrial polyps, fibroids, ...

Post-Hysterectomy Discomfort: Common Concerns and Solutions for Women

Discomfort Symptoms After Hysterectomy On July 20, a Japanese patient underwent a hysterectomy and cervical removal due to adenomyosis measuring 18*15*9 cm. It has been over 40 days since the surgery, and she is still experiencing many discomforts. I would like to ask the followi...

Dr. Zhong Wenzhen Reply:
Hello: You have undergone a major surgery, specifically a myomectomy for large fibroids. 1. A hysterectomy will leave an incision above the vagina, and during the recovery process, you may experience some discharge. Please return for a follow-up appointment. 2. It is estimated...

Nutritional Supplements for Uterine Adenomyosis: What You Need to Know

What are the dietary restrictions for uterine adenomyosis? Hello Dr. Tsai: My mother is 50 years old and was diagnosed with adenomyosis about three years ago. Since the lesions are under three centimeters and well-controlled, there are no major concerns. However, I've heard ...

Dr. Cai Yonglong Reply:
Dear Dr. Tsai Yong-long, Director of the Department of Obstetrics and Gynecology at Tainan Hospital, Ministry of Health and Welfare: Regarding menopause with uterine adenomyosis, if you prefer not to take hormones, you may consider trying soy isoflavones or consuming soy and soy...

Understanding Infertility: Testing, Causes, and Concerns for Couples

Infertility Is it possible to undergo infertility testing at any time (same-day clinic visit), or is it necessary to schedule an appointment? Is adenomyosis caused by congenital factors or acquired factors that are uncertain? I have been pregnant before, but due to certain circum...

Dr. Li Guanghan Reply:
Hello: 1. First come to the outpatient clinic, then we will arrange a time. 2. It mostly occurs in women who have undergone surgery on the uterus (such as abortion or cesarean section). 3. If a woman has not conceived for over a year without contraception since her last pregnancy...

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