Patient's question:
Female, 50, has undergone hysterectomy and oophorectomyPostoperative right waist and lower limb pain with numbness for over 5 years
First follow-up issue: Often feels hungry and cannot endure fatigue
Second follow-up issue: Has undergone uterine fibroid removal
Doctor's answer:
Okay, here is the English translation, following your instructions:I. Surgical Treatment
This is the main treatment method.
1. Characteristics: The surgery takes a long time, involves significant blood loss, and has a higher incidence of complications.
2. Precautions:
During surgery, the posterior peritoneum should be carefully dissected to expose the ureter and major blood vessels, in order to completely resect residual ovarian tissue. For patients with urinary symptoms, cystoscopy and retrograde pyelography should be performed during the surgery. A ureteral catheter should be placed before exploring the residual ovarian tissue to avoid damaging the ureter.
II. Medication Treatment
(1) Oral Contraceptive Cycle Therapy
Mechanism of Action: Inhibits the hypothalamic-pituitary-ovarian axis function, preventing ovulation and causing the ovary to atrophy.
Common Drugs: Desogestrel
Indications: Suitable for patients with milder symptoms. The drug is typically used for 2-3 months; in most patients, pelvic pain can be relieved, and the size of the mass can shrink.
(2) Gonadotropin-Releasing Hormone Analogues (GnRHa)
Mechanism of Action: Inhibits ovarian function, thereby alleviating the patient's symptoms and signs.