Conversation: The conversation between human and AI assistant.
[|Human|] Good evening,Im Polish and have a real overwhelming confusion. A year ago i was diagnosed adenomiosis and had severe problems with my periods due to low progesterone and high estrogen. During ultrasound they found a adenomiosis which was proved by endometrial diagnostic ablation. I tried progesterone but i have mastopatic breasts and after this hormone it turned into pre- cancerous state and i had it removed from my breast. So i had to stop any hormones. I rather dont have any effects of adenomiosis- maybe smt little back pains and smt painful intercourse. What is more several doctors did my ultrasound and sometimes they see adeno and smt not. Im 45 - i had last period in may and my hormone levels are : progesterone 0,2, estrogen  93 so i think i start menopause. Im so afraid it may turn into cancer that i beggged my gin for partial histerectomy via minilaparotomy on august 7th. I have IBS. I dont know what to do.- am i really menopausal or is it only stress, i cant take hormones and dont want to, i dont need to lower estrogen as it is very low, and most of all- i know that not all women stop adeno after menopause and it takes ling time to stop the process with only menopause. Is IBS a problem after hysterectomy? I know i should wait but i cant go to hospital any time from my work. im a teacher and now its good time. i lost over 15 monts crying and visiting doctors , im afraid as my grandparents, and father died of cancer. What should i do? please help me- thank u. AAAA
[|AI|]  Hi, Thanks for consulting us. Adenomyosis is not a precancerous condition & It regresses after menopause. The point to remember is that this is a histopathology diagnosis. Sometimes it can be seen on ultrasound & sometimes not. If you have had an endometrial biopsy & it is normal then you have no point in getting afraid of cancer as far as your womb is concerned. However, if symptoms are unbearable you may try medical treatments other than progesterone or even surgery. There is an option of trying GRH analogues for short period before going for surgery. This will help you in differentiating that your symptoms are due to adenomyosis or due to IBS. As if IBS is the cause of your symptoms you will not get any pain relief from surgery. Hope I have given you some helpful clues. Best regards.