Patient's question:
On the evening of September 21st (the third night of menstruation), acute abdominal pain occurred again. On the 24th, a color Doppler ultrasound was performed with the following results: The uterus was in an anterior position, with an endometrial diameter of 7438 mm, normal morphology and contour, fine and uniform endometrial echo, the endometrial echo line on the left side was normal, the endometrial echo thickness was 3 mm, the endometrial cavity echo was clear, the cervix size was normal, and no echo-free dark areas were observed in the rectal fossa. The ovaries were 2816 mm and 2715 mm in size, with an elliptical shape, smooth edges, clear boundaries, and heterogeneous internal echoes with multiple small dark areas of varying sizes arranged. Additionally, the blood test CA125 result was 53, 27?Doctor's answer:
The diagnosis of endometriosis is primarily based on a progressive history of dysmenorrhea, endometriotic cysts observed in the ovaries on MRI, and elevated CA125 levels. Based on your condition, it has not yet been confirmed as endometriosis. From a careful examination of your MRI, there are no apparent abnormalities in the uterus or ovaries. Elevated CA125 alone is not sufficient to confirm endometriosis.For gynecological patients, in addition to symptomatic treatment, it is also important to maintain a healthy diet and ensure proper digestion of nutrients in daily life.