When can one have children with endometriosis?

Patient's question:

Doctor,
I am 29 years old today and have never been pregnant. I am a patient with endometriosis, and I have a chocolate cyst on my left ovary. Before surgery, it was 8.06.5 cm. Four months ago, I had an abdominal puncture and took triptorelin for three months, then stopped. Now, one month after stopping, the cyst has grown from 2.92.7 cm to 4.03.0 cm. I had planned to have a child in a few more months, but now, should I take medication again? If I want to take Chinese medicine, which type is good? How many months should I wait to have a child while taking Chinese medicine, or should I stop taking medication for a few months first? I’m afraid the cyst will grow larger after stopping medication, and I may need surgery.

Doctor's answer:

Hello, endometriosis is a common gynecological disease with a high recurrence rate. As the condition progresses, patients may experience symptoms such as dysmenorrhea (painful menstruation), persistent lower abdominal pain, menstrual irregularities, infertility, and dyspareunia (pain during intercourse). In the early stages, there are often no symptoms, and the condition is usually discovered due to dysmenorrhea or infertility. Endometriosis can lead to infertility, miscarriage, and dysmenorrhea. It is recommended to seek treatment at a reputable hospital for a systematic approach. Alternative treatments include traditional Chinese medicine or surgical intervention, which can also be effective.

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