In adenomyosis, drug treatment is not very successful. HIFU and percutaneous ablation may be an option only if the adenomyosis is focal and clearly visible on ultrasound and MRI, which is not common. Because of the limitations of these treatments, most patients with adenomyosis are recommended hysterectomy. Embolization has been introduced as an alternative to hysterectomy and successfully used in many patients with adenomyosis in the last decade. It is effective in all types of adenomyosis and may eliminate or substantially reduce adenomyosis symptoms in about 75% of the patients.