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Combination of microwave endometrial ablation and postoperative dienogest administration is effective for treating symptomatic adenomyosis

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Menorrhagia and dysmenorrhea are common symptoms. Uterine adenomyosis is one of the causes of menorrhagia and dysmenorrhea. These symptoms often decrease the quality of life in women. Microwave endometrial ablation… Click to show full abstract

Menorrhagia and dysmenorrhea are common symptoms. Uterine adenomyosis is one of the causes of menorrhagia and dysmenorrhea. These symptoms often decrease the quality of life in women. Microwave endometrial ablation (MEA) is a recently developed procedure that enables endometrial ablation. Dienogest has long been used to suppress endometrium development and reduce adenomyosis‐related dysmenorrhea. However, some cases could be resistant to dienogest. In this study, we evaluated the efficacy of a combination of MEA and postoperative dienogest in reducing adenomyosis‐related dysmenorrhea and menorrhagia.

Keywords: adenomyosis; combination; endometrial ablation; microwave endometrial; postoperative dienogest

Journal Title: Journal of Obstetrics and Gynaecology Research
Year Published: 2018

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