CASE REPORT article
Front. Med.
Sec. Obstetrics and Gynecology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1679449
Management of Symptoms of Suspected Adenomyosis Uteri Using Herbal Medicine Modified Bojungikgi-Tang: A Case Report with Ultrasound Monitoring
Provisionally accepted
- 1Department of Preventive Medicine, College of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea
- 2Department of Preventive Medicine, College of Korean Medicine, Woosuk University, Jeonju, Republic of Korea
- 3Department of Korean Medicine Obstetrics and Gynecology, College of Korean Medicine, Dongshin University, Naju, Republic of Korea
- 4Kirin Korean Medicine Clinic, Incheon, Republic of Korea
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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.
Keywords: Adenomyosis, Hochu-ekki-To, Bu-zhong-yi-qi-tang, Ultrasonography, Korean traditional medicine, case reports
Received: 04 Aug 2025; Accepted: 24 Sep 2025.
Copyright: © 2025 Park, Jeong, Kim, Yang and Roh. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Stella Roh, istra@hanmail.net
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