Adjuvant Therapy of HIFU Ablation for Adenomyosis

At present, many studies have confirmed that HIFU is a safe, effective, and non- invasive method for treating adenomyosis. Still, at the same time, we also realize that this HIFU treatment also has certain limitations. One of them is similar to all other uterine preservation treatment for adenomyosis; patients will face problems of poor results and recurrence. Clinical studies have confirmed that the effective rate of HIFU alone in treating adenomyosis is about 80%–90%, and there are still 10%–20% of patients whose symptoms do not improve significantly. Besides, there are still some patients with symptoms soon recur after treatment. Liu et al. [1] reported that 45 of the 173 patients with adenomyosis after HIFU treatment had symptoms recurred; the recurrence rate was about 26%, and the median time to relapse is 12 months.