Deep Disease
What uterine-sparing options treat adenomyosis?
The short answer
Uterine-sparing options may include adenomyomectomy in select cases, uterine artery embolization, high-intensity focused ultrasound, or a progestin-releasing IUD. These may reduce bleeding and pain, but results can vary and symptoms can return over time.
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 reduce bleeding and pain or lessen 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 source of pain and talk through which uterus-preserving strategy best matches your fertility plans, symptom pattern, and imaging findings.
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Save Your Uterus, Ease Your Symptoms
Our specialists offer tailored uterine-sparing treatments to reduce pain and bleeding from adenomyosis. Let us help you find the right option that aligns with your goals and preserves your health.
Questions people ask next
All deep disease questionsWhat treatments can help avoid hysterectomy for adenomyosis?
Many people with adenomyosis can reduce pain and heavy bleeding without a hysterectomy using anti-inflammatory medications and hormones, such as a progesterone IUD or birth control pills. If medications aren’t enough, uterus-sparing surgery may be an option for select patients.
Can diffuse adenomyosis be managed without hysterectomy?
Yes, diffuse adenomyosis can often be managed without hysterectomy, especially for symptom control and preserving the uterus. Many patients feel meaningful improvement with hormone-based therapies; uterus-sparing procedures may be considered in carefully selected cases.
Can adenomyomectomy improve fertility?
In carefully selected patients, especially those with focal adenomyosis, adenomyomectomy may improve fertility. It creates a uterine scar, so we typically recommend healing time before conception, and future pregnancies usually require close monitoring and a planned cesarean delivery.
Is endometrial ablation a good option for adenomyosis?
Endometrial ablation often doesn’t resolve adenomyosis-related pain or heavy bleeding because it treats the lining, while adenomyosis lives in the uterine muscle. Some patients feel worse afterward, and it is not appropriate if you want the option of future pregnancy.
Further reading
Fertility-Sparing Treatment for Adenomyosis: Pregnancy Chances, Symptom Relief, and Pregnancy Risks
Weigh pregnancy chances, symptom relief, and risks after fertility-sparing adenomyosis treatment. Compare adenomyomectomy vs HIFU, RFA, UAE—when to add hormones
Treating Adenomyosis: From IUDs to Surgery Explained
Explore adenomyosis treatment methods including IUDs and surgeries. Learn which approach is best for pain, bleeding, and fertility.
Can the Hormonal IUD Tame Your Adenomyosis Pain and Bleeding?
Discover how the hormonal IUD may alleviate adenomyosis pain and heavy bleeding for better quality of life. Learn about this treatment option now!
