Patient's question:
I have premature ovarian failure and need to take Femoston to maintain my menstrual cycle. In June, I had a breast ultrasound at a general hospital's magnetic resonance imaging department, and the results showed no significant issues. Later, before undergoing in vitro fertilization transfer, I went to the same general hospital's magnetic resonance imaging department for another ultrasound (the doctor was relatively young) and the results indicated BI-RADS 4a category, with blood flow signals and irregular shapes.Yesterday, I immediately went to another hospital's breast center for an ultrasound (the ultrasound doctor was at the deputy director level and specialized in breast magnetic resonance imaging). The results were significantly different from the previous day's, showing no blood flow signals and no mention of irregular shapes. Figure 1 is from June, Figure 2 is from the previous day, and Figure 3 is from yesterday.
I am currently preparing for in vitro fertilization transfer, and the procedure will involve taking a large dose of estrogen. I am very concerned. The expert I saw yesterday suggested that I could have a child first but must come back for a follow-up check-up within three months. I am unsure what to do. When the second ultrasound (Figure 2) was performed, the doctor recommended minimally invasive removal, but I think the second ultrasound is not very accurate, and there is also a risk of complications after minimally invasive surgery. What should I do? Is this condition serious? I originally planned to start the in vitro fertilization transfer at the end of this month.
Doctor's answer:
Under normal circumstances, as long as timely and appropriate treatment methods are used, the cure rate for premature ovarian failure is very high. There are many treatment methods for premature ovarian failure, such as surgical treatment, estrogen therapy, immunotherapy, and the most common integrated traditional Chinese and Western medicine treatment. It is also possible to treat premature ovarian failure by inducing follicular development. Regarding the treatment methods for premature ovarian failure, it is naturally necessary to decide based on each individual's specific situation. After diagnosis, the patient's main task is to go to a reputable hospital to determine a specialized treatment that exceeds their desired outcomes.