Patient's question:
Uterus is anteverted and enlarged. 40 days ago, the anterior wall muscle layer was thickened by 4.4C, with spot-like blood flow. Endometrium thickness is 0.14CM.Doctor's answer:
The inhibitory effect of GnRHa on the pituitary-ovary axis can lead to uterine shrinkage and symptom relief. After discontinuation of the medication, symptoms may return, and the uterus may regain its size, indicating that this treatment requires a prolonged duration. However, the subsequent bone loss that follows is noteworthy. The ideal dosing method involves combining it with a steroid hormone replacement therapy, which should be sufficient to prevent bone loss without stimulating disease progression.