Adenomyosis naturaly goes away when menopause, thus treatment may rely on how close you're to that stage of life.
Treatment choices for adenomyosis include:
- Anti-inflammatory medicine. If you are nearing menopause, your doctor may have you try anti-inflammatory medications, like ibuprofen (Advil, Motrin, others), to control the pain. By beginning an anti-inflammatory drugs 2 to 3 days before your period starts and continuing to take it throughout your period, you can reduce menstrual blood flow additionally to relieving pain.
- Hormone medications. Controlling your menstrual cycle through combined estrogen-progestin oral contraceptives or through hormone-containing patches or vaginal rings may reduce the serious bleeding and pain related to adenomyosis. Progestin-only contraception, like an intrauterine device containing progestin or a continuous-use contraception pill, usually leads to amenorrhea — the absence of your menstrual periods — which can give relief.
- Hysterectomy. If your pain is severe and menopause is years away, your doctor may counsel surgery to get rid of your uterus (hysterectomy). Removing your ovaries is not necessary to control adenomyosis.