What uterine-sparing options treat adenomyosis?

If you want to avoid hysterectomy, several uterine-sparing options may help reduce adenomyosis symptoms, although results can vary and symptoms can return over time. These approaches aim to decrease bleeding and pain or reduce the adenomyosis burden while preserving the uterus.

Depending on your goals and anatomy, options may include adenomyomectomy in select cases, uterine artery embolization, or high-intensity focused ultrasound. Hormonal management, such as a progestin-releasing IUD, may also meaningfully reduce heavy bleeding and cramping for some patients. Our team can help confirm whether adenomyosis is the main pain driver and talk through which uterus-preserving strategy best matches your fertility plans, symptom pattern, and imaging findings.