Patient's question:
Can endometriosis be cured? Or is there a way to relieve the pain? Please recommend relevant experts, prescriptions, or hospitals. Thank you! Also, please encourage those with this condition to respond enthusiastically or engage in discussions. Thank you! First follow-up question: Thank you for your reply! Can you recommend a relatively authoritative hospital?Doctor's answer:
Hello, Treatment Methods for EndometriosisTreatment methods are primarily divided into two categories: surgery and medication, with decisions based on comprehensive considerations such as the patient's age, the severity of the condition, and fertility requirements. Treatment should be tailored to the individual.
### I. Surgical Treatment:
The earliest method used for treating endometriosis, it remains one of the primary approaches to this day. Surgical treatment is mainly suitable for patients with severe conditions or those experiencing severe pain that is unresponsive to medication.
#### (1) Conservative Surgery:
Only the endometriotic lesions are removed while preserving the ovaries and uterus. This is suitable for younger patients who wish to preserve their fertility. Approximately 50%-60% of patients can become pregnant after the surgery. However, the recurrence rate of pain is relatively high.
#### (2) Semi-radical Surgery:
Endometriotic lesions are removed along with the uterus, while at least part of the ovaries are preserved. This is suitable for women who have already borne children, are over 35 years old, suffer from persistent pain, or have concurrent uterine conditions. Semi-radical surgery can effectively cure dysmenorrhea, and the recurrence of endometriosis after surgery is very rare.
#### (3) Radical Surgery:
Both bilateral adnexa and the uterus are removed, which can completely cure endometriosis. This is suitable for women in menopause. In recent years, laparoscopic surgery has been widely used to treat endometriosis. All surgeries that can be performed via open surgery can also be done laparoscopically. Additionally, laparoscopic surgery offers advantages such as minimal trauma, faster recovery, and reduced postoperative pelvic adhesions.
The symptom relief rate and pregnancy rate after laparoscopic surgery can achieve the same results as open surgery. It is gaining increasing attention.
### II. Medication Treatment:
Suitable for patients with mild conditions and small chocolate cysts. The treatment course typically lasts 6-9 months. If used as an auxiliary measure before or after surgery...