Endometriosis Treatment

**105**

**Chapter 7**

**Abstract**

Endometriosis

intensity focused ultrasound treatment).

ultrasound interventional

**1. Introduction**

menorrhagia.

Interventional Treatment of

*Yang Xiaomin, Han Jun, Feng Pin and Yang Xiaojun*

Patients with endometriosis and adenomyosis naturally improve after menopause.

Therefore, some patients only need to relieve symptoms, especially those near menopause, and they prefer to be treated by conservative methods. We summarized several minimally invasive interventional methods: uterine artery intervention (Uterine artery embolization, UAE), nerve intervention (upper and lower abdominal plexus block, SHPB), ultrasound intervention (puncture sclerotherapy; high

**Keywords:** superior hypogastric plexus block, uterine artery embolization,

and Menorrhagia are the most typical symptoms of this disease [1].

**2. Minimally invasive interventional therapies**

**2.1 Uterine artery embolization (UAE)**

Adenomyosis and endometriosis are common gynecological diseases. Most of the patients are primipara aged 35–50 years old. About half of the patients have hysteromyoma at the same time. Clinical manifestations are dysmenorrhea, menstrual disorders, and enlargement of the uterine body. Secondary dysmenorrhea

The main symptom of endometriosis is progressive secondary dysmenorrhea which severely affects patient's quality of life. Menorrhagia caused by adenomyosis may lead to severe anemia in some patients. The treatment is often personalized and optimized according to disease severity and patient age. At present, there are several non-surgical conservative treatments for secondary dysmenorrhea and

UAE is the treatment of symptomatic uterine fibroids by embolizing the vascular network of the lesion after reaching the uterine artery through the intervention, which blocks the blood supply of the lesion [2]. It was first reported in 1995 by Ravina et al. This technique has the characteristics of uterus preservation, easy operation, rapid postoperative recovery, and less postoperative complications and has become one of the effective minimally invasive alternatives in the treatment of symptomatic uterine adenomyosis. The American College of Obstetricians and Gynecologists (ACOG) has recommended UAE as a safe and effective treatment
