Patient's question:
Menstrual pain for 20 years, heavy flow with blood clots, accompanied by lower back pain. Past treatment history and effectiveness:Ultrasound report on October 17, 2011, as follows: Bladder well-filled, smooth walls, clear dark areas. Uterus: 6.34.16.4 cm, irregular outline. The anterior wall of the uterine fundus is significantly thickened, with several fluid-filled dark areas visible internally. The rest of the muscular wall shows uniform light point arrangement. The uterine cavity line is slightly shifted to the left, and 0.90.6 cm and 0.60.6 cm fluid-filled dark areas can be detected at the cervix. Bilateral adnexa show no abnormalities. Fluid level of 1.3 cm detected in the uterosacral pouch.
MRI findings:
1. Abnormal uterine echoes, combined with clinical diagnosis of adenomyosis.
2. Cervical cyst.
3. Pelvic effusion.
In what way should I seek help? How should I be treated? From where should I begin?
Doctor's answer:
Endometriosis can be treated through hormone therapy, surgical treatment, or radiotherapy. The main drugs for medication are Danazol, Norethisterone, Gonadotropin-releasing hormone agonists, Tamoxifen, and Progestins. Progestins such as Ethynodiol diacetate, Ethynylestradiol, or Medroxyprogesterone can be used for cyclical treatment. Additionally, for gynecological patients during treatment, dietary condition and care are also very important. Patients must ensure proper digestion of vitamins, prevent stomach issues, and maintain a light diet to avoid unnecessary harm. It is hoped that the above information can help you. Thank you.