Patient's question:
I have endometriosis.Doctor's answer:
Generally, 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, the surgery typically involves only the removal of the endometriotic lesions while preserving the uterus and normal ovarian tissue. This is called conservative surgery. This approach 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 preserving the normal ovarian tissue. In the long term, this method is more effective than conservative surgery but cannot completely prevent recurrence.
If the patient is nearing menopause or the endometriotic lesions are too widespread to be completely eradicated, the uterus and ovaries should be removed together during surgery.
Below are some relatively professional hospitals you may consider: Shanxi Fenyang Hospital, Shanxi University of Traditional Chinese Medicine Second Hospital of Traditional Chinese Medicine, and Datong Fifth People's Hospital.