Patient's question:
Is it normal to have heavy and clotty periods after a fibroid surgery?Doctor's answer:
Patients with adenomyosis no longer have fertility requirements, and a total hysterectomy is recommended while preserving the ovaries as much as possible. If pelvic endometriosis is also present, efforts should be made to remove the lesions while preserving ovarian function, allowing the patient to transition to natural menopause. For those who wish to conceive, hormone therapy can be administered for 6 to 12 months, after which the medication is discontinued with the hope of achieving pregnancy in the short term. If the adenomyoma is discovered during surgical exploration, consideration should be given to removing the adenomyoma while preserving the uterus.