Patient's question:
I am 48 years old this year, and I have suffered from the aforementioned disease for nearly 20 years. In recent years, my menstrual period has been long, and the pain during the 7th-8th day of the period is severe.Doctor's answer:
For severe symptoms or when fertility preservation is not necessary, a hysterectomy can be performed while preserving the ovaries as much as possible. If pelvic endometriosis is also present, the focus should be on excising the lesions while preserving ovarian function to allow the patient to undergo natural menopause. For those seeking fertility, hormone treatment for 6 to 12 months can be administered, with the hope of achieving short-term conception after stopping the medication. If discovered during surgical exploration, consideration should be given to removing the adenomyoma while preserving the uterus.