Work

Management of symptoms of suspected adenomyosis uteri using herbal medicine modified Bojungikgi-tang: a case report with ultrasound monitoring

Year: 2025

Type: article

Abstract: Introduction: Adenomyosis is a chronic gynecological disorder characterized by the infiltration of ectopic endometrial tissue into the myometrium, affecting approximately 20-35% of women of reproductive age. Although hormonal therapy and surgery are common treatments, their side effects and impact on fertility highlight the need for alternative approaches. Recently, integrative medicine, including traditional Korean medicine, has gained attention. However, well-documented long-term case studies using objective imaging are limited. Methods: A 40-year-old woman with severe adenomyosis symptoms unresponsive to conventional therapies received long-term herbal medicine based on modified Bojungikgi-tang, with regular ultrasound monitoring and clinical assessments over 12 months. Results: After treatment, menstrual pain decreased from a numeric rating scale score of 7-8 to 1-2, hemoglobin normalized, and ultrasonography revealed reduced adenomyosis and improved uterine structure. The patient's quality of life improved markedly with no adverse effects. Conclusion: This case suggests that herbal medicine may be a safe and effective option for managing adenomyosis, supporting further research into integrative treatment strategies.

Source: Frontiers in Medicine

DOI: 10.3389/fmed.2025.1679449

Authors: Hyunsuk Park, Hyein Jeong, Kyeong Han Kim, Seung Jeong Yang, Stella Roh

Institutions: Kyung Hee University, Woosuk University, Dongshin University

Language: English

Topic: Endometriosis Research and Treatment

Subfield: Reproductive Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,801