How is endometriosis treated?

Patient's question:

Medical Description: The patient is 40 years old and has been ill for 3 years. Severe abdominal pain occurs during menstruation, and there is a small amount of blood in the stool. Treatment history and effectiveness: No treatment has been received. Desired help: How to treat it, what medication to take.

Doctor's answer:

Endometriosis refers to a common gynecological disease in women where active endometrial cells are implanted in locations outside the endometrium. This condition primarily occurs in women of reproductive age and does not develop before puberty. After menopause, ectopic lesions can gradually atrophy and regress. The main symptoms include dysmenorrhea (painful menstruation), chronic pelvic pain, menstrual irregularities, and infertility. It generally does not become malignant; the primary issue is dysmenorrhea, and symptoms typically disappear after menopause.
Endometriosis, whether treated surgically or with medication, can only be improved unless the ovaries are removed along with the uterus during menopause. This is because as long as the ovaries retain endocrine function, there is a possibility of recurrence of the ectopic endometrium.

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