When Does Adenomyosis Require Surgery?

Adenomyosis only requires surgery when a woman is several years from menopause and the pain the condition causes is severe, explains Mayo Clinic. This surgical treatment is a hysterectomy, where the uterus is removed. This is the only cure for adenomyosis. Surgery is usually not needed when a woman is near menopause because symptoms subside naturally afterward. Medications such as anti-inflammatory drugs and hormones can provide some relief from the symptoms of the condition.

Adenomyosis is a condition where the endometrial lining that normally grows, and is shed, from the lining of the uterus instead grows invasively into the muscle tissue of the uterus itself, explains Mayo Clinic. Despite its placement, it still goes through the same cycle of growing and breaking down that normal endometrial tissue does. This may only cause minor discomfort or no symptoms at all, but in more severe cases it can cause severe cramping during menstruation, stabbing pains during menstruation, pain during intercourse, prolonged menstrual bleeding and especially heavy menstrual bleeding.

Risk factors for adenomyosis include childbirth, being middle aged and prior surgeries on the uterus, Mayo Clinic says. The symptoms of adenomyosis resemble other female reproductive problems, and a biopsy cannot give a definite diagnosis. The only way to get a definite diagnosis is to remove the uterus and examine it afterward.