Patient's question:
Can endometriosis be treated? I have had menstrual cramps for over two years. Symptoms gradually worsen one to two weeks before my period. Breast swelling, abdominal pain, groin pain, and lower back pain. On the first day of my period, I have to rest in bed. The severe symptoms of menstrual cramps can be reduced significantly, with abdominal pain, vaginal discharge, and sometimes irregular bleeding. I have been on hormonal treatment for a year, but it has not been effective. When the doctor examined me, he only performed one internal examination to confirm the diagnosis. I want to know what method is the most accurate for confirming the diagnosis, and whether surgical treatment is necessary.Doctor's answer:
Endometriosis refers to the growth function of the endometrium outside the normal uterine cavity wall. The ectopic endometrium is interfered with by ovarian hormones during the menstrual cycle and may also undergo fibrosis or secretory changes. However, this completely benign endometrial tissue can spread, implant, and branch out like a malignant tumor, and its recurrence, expansion, and dissemination are all caused by the growth, development, and secretion of the endometrial tissue. The formation of this inflammation is suppressed by endocrine function. Endometriosis is most commonly found in the ovaries, uterus, sacral ligaments, pelvic mucosa, and other areas, hence it is also known as pelvic endometriosis.