Patient's question:
What is the reason for pain after hysterectomy for adenomyosis?Doctor's answer:
Endometriosis is a benign condition caused by the invasion of the endometrium into the uterine muscle layer. If the patient is young and the symptoms are mild, observation and symptomatic treatment can be considered. Progestogens, androgens, and gossypol can help alleviate symptoms. For severe symptoms or when fertility preservation is not required, a hysterectomy with ovarian preservation may be performed. If pelvic endometriosis is also present, the lesions can be removed while preserving ovarian function, allowing the patient to undergo natural menopause. For those seeking fertility, hormone treatment for 6 to 12 months followed by a drug-free period may be recommended, with the hope of achieving short-term conception. If endometriomas are discovered during surgical exploration, consideration should be given to removing the adenomyomas while preserving the uterus.