Patient's question:
Patient: Female, 29 years old, previously in good healthCondition:
1. Irregular menstruation, dysmenorrhea
2. Unable to conceive after being married for many years
Doctor's answer:
Surgery is the primary method for treating endometriosis because it allows for a clear identification of the extent and nature of the lesions under direct visualization. It is highly effective in alleviating pain and improving fertility, with a relatively short treatment duration. This is particularly beneficial for severe cases with extensive fibrosis and dense adhesions where medication is often ineffective. For large ovarian endometriomas that do not respond to medication, surgery may still preserve viable ovarian tissue. Surgical approaches can be categorized into three types: conservative surgery, semi-radical surgery, and radical surgery.