When should surgery be considered for adenomyosis?

Surgery becomes part of the conversation when adenomyosis symptoms—especially heavy bleeding and pelvic pain—remain disruptive despite well-optimized medical management, or when ongoing bleeding leads to anemia and day-to-day functioning is still significantly affected. If you’re planning your life around bleeding, missing work or activities, or relying on escalating medications with limited relief, that’s often a sign it’s time to discuss surgical options.

The right procedure depends on the pattern of disease and your fertility goals. Some patients with a focal adenomyoma may be candidates for uterus-sparing surgery, while others with more diffuse disease or completed childbearing may get the most definitive relief from hysterectomy. Our team can help clarify what’s driving your symptoms and walk you through options so you can choose a plan that fits your body and priorities.