What treatments can help avoid hysterectomy for adenomyosis?

Many people with adenomyosis can reduce pain and heavy bleeding without a hysterectomy by using anti-inflammatory medications and hormone-based therapies. Common options include a levonorgestrel (progesterone) IUD, oral progestins, or combined birth control pills, chosen based on your symptoms, goals, and how you’ve responded to treatment before. In some cases, short-term use of GnRH agonists or antagonists may be considered to help calm symptoms, especially as a bridge to a longer-term plan.

If medications aren’t enough, uterus-sparing surgery may be an option for select patients, particularly when adenomyosis is more focal and symptoms are persistent. The best approach depends on whether your main issue is bleeding, pain, fertility goals, and whether there are other contributors such as endometriosis or fibroids. Our team can review your imaging, symptoms, and history to map out realistic uterus-preserving options and help you decide what fits your priorities—if you’d like, you can reach out to schedule a consultation.