What should I do if I have endometriosis with heavy menstrual bleeding?

Patient's question:

Menstruation is very painful, often with large blood clots, and there is a significant amount of bright red blood, which has led to anemia. It was diagnosed with endometriosis at the Maternal and Child Health Hospital, but various medications have not been effective. What should I do about heavy menstrual bleeding with endometriosis?

Doctor's answer:

Endometriosis treatment primarily involves hormone therapy and surgical treatment. Hormone therapy has significant side effects and is often difficult for patients to adhere to. Surgery can be categorized into three types: conservative surgery, semi-radical surgery, and radical surgery. Conservative surgeries include laparoscopic surgery, ultrasound-guided ovarian endometrioma puncture, and laparoscopic conservative surgery. Specific treatment should consider the patient's age, fertility advice, the severity of the condition, symptoms, and the extent of the lesions, taking a comprehensive approach. In fact, having gynecological diseases is not; patients should believe that they can overcome the illness. As long as treatment is administered promptly in the early stages, the chances of stabilizing the condition and achieving recovery are very high.

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