Patient's question:
I have premature ovarian failure and need to take Femoston to maintain my menstrual cycle. In June, I had a breast ultrasound at a general hospital's magnetic resonance imaging department, and the results showed no significant issues. Later, before undergoing IVF transfer, I had another ultrasound at the same general hospital's MRI department (the doctor was relatively young). The results indicated BI-RADS 4a, with blood flow signals and irregular shapes.Yesterday, I immediately went to another hospital's breast center for another ultrasound (the ultrasound doctor was at the deputy director level and specialized in breast MRI). The results were quite different from the previous day's, showing no blood flow signals and no mention of irregular shapes. Figure 1 is from June, Figure 2 is from the previous day, and Figure 3 is from yesterday.
I am currently preparing for IVF transfer, and the procedure involves taking a large dose of estrogen. I am very concerned. The expert I saw yesterday suggested that I could have a child first but must come back for a follow-up check in three months. I'm unsure what to do. When the second ultrasound was performed (Figure 2), the doctor recommended minimally invasive removal, but I think the results from Figure 2 are not very accurate, and there is also a risk of complications after minimally invasive surgery. What should I do? Is this condition serious? I originally planned to start the IVF transfer at the end of this month.
Doctor's answer:
Under normal circumstances, as long as timely and appropriate treatment is administered, the cure rate for premature ovarian failure is very high. There are many treatment methods for premature ovarian failure, such as surgical treatment, estrogen therapy, immunotherapy, and the most common integrated traditional Chinese and Western medicine treatment. It is also possible to treat premature ovarian failure by inducing follicular development. Regarding the treatment methods for premature ovarian failure, it is naturally necessary to decide based on each individual's specific condition. After diagnosis, the patient's main task is to go to a reputable hospital to determine a specialized treatment that exceeds their desired outcomes.