Drug therapy may be effective in controlling symptoms but thefrequent coexistence of endometriosis and the lack of controlledstudies make their efficacy difficult to quantify. Danazol IUD hasbeen shown to reduce symptoms. Conservative surgery involvingendomyometrial ablation, laparoscopic myometrialelectrocoagulation or excision has proven to be effective in morethan 50% of patients, although follow up has been restrictedto three years. Arterial uterine artery embolization is a newtechnique which may be tried before considering hysterectomy.Hysterectomy may still be necessary in severe cases ofadenomyosis.
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