Patient's question:
Endometriosis surgery had the ovaries and uterus removed together. It has been one month since the surgery, and there is still a small amount of bleeding.Doctor's answer:
Treatment of Endometriosis:1. Medication:
- Ovulation-suppressing drugs such as Danazol, Norethisterone, Gossypol, and GnRH agonists.
- Ovulation-inhibiting drugs such as Funing Pian (Megestrol), Fuke Pian (Norethisterone), and Puvira (Progesterone).
- For severe pain, medications like Flurbiprofen, Indomethacin, Advil, and Keferan can be used.
2. Surgical Treatment:
- There are two types of surgical treatment: conservative surgery and radical surgery.
- Young patients or those who still need to preserve fertility can undergo cystectomy and lesion resection as conservative surgery.
- For those who no longer wish to have children, total hysterectomy and lesion resection can be performed, with one or both ovaries preserved. Medication should be supplemented postoperatively, resulting in a lower recurrence rate.
- Women near menopause can undergo radical surgery, including total hysterectomy, bilateral oophorectomy, salpingectomy, and lesion resection, to prevent recurrence.