Patient's question:
I have endometriosis.Doctor's answer:
It is generally believed that chocolate cysts that occur on the ovaries often have a larger lesion volume, or endometriotic nodules in other locations with a diameter of 2 centimeters or more, are difficult to control with medication and require surgical treatment. Alternatively, if the condition does not improve after six months or even a year of medication, surgery should also be considered.If the patient is young and does not have children, during surgery, only the endometriotic lesions are removed while the uterus and normal ovarian tissue are preserved. This is called conservative surgery. This type of surgery preserves the possibility of fertility but has a higher chance of recurrence.
If the patient already has children and is older (e.g., 35 years old), the uterus can be removed along with the endometriotic lesions while the normal ovarian tissue is preserved. In the long term, this method is more effective than conservative surgery, but it cannot completely prevent recurrence.
If the patient is nearing menopause or the endometriotic lesions are too extensive to be completely eradicated, the uterus and ovaries should be removed together during surgery.
Below are some highly professional hospitals you may consider:
- The Affiliated Women's and Children's Hospital of Zhejiang University School of Medicine
- The First Hospital of Zhejiang Province
- The First People's Hospital of Hangzhou