Patient's question:
Married for three years, had a fallopian tube surgery last year, with endometriosis. Then in August last year, the pregnancy stopped developing at fifty days, and has not been pregnant since. The menstruation has not stopped, with blood clots, disappearing completely in one day.Doctor's answer:
Treatment includes:1. Medication therapy:
1. Progestogens can cause endometrial shedding and atrophy, making them the first-line treatment for endometriosis.
2. Mifepristone
3. Danazol, etc.
2. Surgical therapy: For patients whose symptoms do not improve with medication, whose local lesions worsen, or whose fertility has not yet been restored; or for ovarian endometrioma with a diameter greater than 5-6 cm, especially those who urgently desire fertility.
3. Combination of surgery and medication.
4. Endometriosis during adolescence: Mild cases with surgical indications can have the lesions removed, followed by low-dose oral contraceptives to prevent recurrence postoperatively.