Uterine fibroid and adenomyosis treatment in China

Fibroids are growths of muscle tissue in the wall of the uterus. Many cause no symptoms. Others cause heavy periods, pelvic pressure, pain, frequent urination or difficulty becoming pregnant.

Adenomyosis is a different condition. Tissue like the uterine lining grows into the muscle wall, leading to heavy, painful periods and an enlarged uterus. The two conditions can occur together.

If symptoms are mild, doctors may suggest monitoring or hormonal medicines. Procedures include myomectomy, which removes fibroids and keeps the uterus, hysterectomy, which removes the uterus, and uterine artery embolization, which blocks the blood supply so fibroids shrink.

For adenomyosis, hormonal treatments can ease symptoms, and hysterectomy is the definitive treatment. Waiting times for specialist procedures can be long in some areas.

You might ask if you want to keep your uterus and avoid surgery, have already tried medicines, or face a long wait. Imaging, usually MRI, shows whether the fibroids or adenomyosis suit focused ultrasound, because size, number and position matter.

Both methods have limits. Fibroids can regrow, and some women need further treatment. Effects on pregnancy are not fully known, so if you hope to conceive, discuss this carefully with a gynaecologist. Risks include pain, skin burns, nerve irritation and, with embolization, infection and early menopause.