Will adenomyosis disappear after menopause?

Symptoms of adenomyosis usually improve after menopause, but they never go away. The problem involves changes in estrogen and changes in the muscle layer of the uterus.

1. The influence of estrogen

Adenomyosis is a disease that depends on estrogen. After menopause, the estrogen level in the body decreases, the endometrium no longer grows, and the menstrual cycle disappears. This means that the symptoms may be alleviated, but it does not mean that the disease itself will disappear. Because the lesions that have already formed in the uterine muscle layer will not automatically disappear due to changes in hormone levels.

2. Possibility of malignant transformation

Although the chance of adenomyosis becoming malignant is very low, you still need to be vigilant. Once it becomes malignant, it usually requires hysterectomy and ovarian removal, and radiotherapy or chemotherapy may be required after surgery. This is why color Doppler ultrasound examinations are still required regularly after menopause to observe changes in the tumor marker Ca125. If abnormal symptoms are found, it is very important to seek medical attention in time.

3. Persistence of symptoms

Some women may find that their uterus remains large after menopause and is located in the lower abdomen, which may feel heavy after strenuous activity. This may cause pressure on the intestines and bladder, leading to problems such as frequent urination, urgency, or difficulty with bowel movements. Although these symptoms are not life-threatening, they can affect quality of life.

4. Advice and care

Regular checkups are key, even after menopause. Maintaining a healthy lifestyle, such as eating a healthy diet and exercising, can help relieve symptoms. Learn to recognize changes in your body and consult a professional for personalized advice and treatment options.

5. Pay attention to mental health

The changes brought about by menopause and adenomyosis are not only physical, but may also affect mental health. Sharing your feelings with family and friends, or seeking psychological counseling, are helpful ways. Psychological support can help you better cope with physical changes.

Through these suggestions, I hope to help women who are facing the trouble of postmenopausal adenomyosis. Maintaining a positive attitude and a healthy lifestyle are important strategies for coping with this stage.