Patient's question:
This year, my periods have been absent, and they've been getting later and later. The last one was almost three months ago now, and I'm very worried it's a sign of menopause. I went to the gynecologist, and the doctor said there was no inflammation in the uterus or appendages. What kind of assistance is needed: What are the conventional treatments for premature ovarian failure?Doctor's answer:
Most patients have already reached an advanced stage by the time of follow-up, so every possible effort is made to remove the primary cyst and any pelvic or abdominal metastatic lesions that can be identified. Since malignant ovarian cysts are often adhered to or infiltrated with the uterus and adnexa, forming a single mass and closely attached to the pelvic and abdominal peritoneum, the current practice is to remove the uterus along with the tumor and the pelvic peritoneum as a whole, using a carpet-like approach. Additionally, procedures such as omentectomy, partial intestinal resection, partial bladder resection, and partial ureteral resection may also be performed.