What are the treatment methods for endometriosis?

Patient's question:

I experience severe pain in my stomach, waist, and rectum every time I have my period. The more intense the flow, the worse the pain. Painkillers only provide temporary relief, and the pain returns as soon as the medication wears off. It's truly unbearable.

Doctor's answer:

The treatment methods are mainly divided into two categories: surgery and medication. The choice of treatment should be based on a comprehensive evaluation considering factors such as the patient's age, the severity of the condition, and the possibility of fertility preservation. Treatment should be tailored to the individual.
### 1. Surgical Treatment:
This was the earliest method used to treat endometriosis and remains one of the primary approaches to this day. Surgical treatment is mainly suitable for patients with more severe conditions or those experiencing severe pain that is not effectively managed by medication.
#### (a) Strict Surgery:
Only the endometriotic lesions are removed while preserving the ovaries and uterus. This approach is suitable for younger patients who wish to retain their fertility. Approximately 50%-60% of patients can become pregnant after the surgery. However, the recurrence rate of pain is relatively high.

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