Patient's question:
Detailed medical condition and consultation purpose: Surgery was performed in May 2005. Currently, I experience menstrual cramps for 2-3 days each month, lasting until the 10th day. Recent ultrasound examination revealed an enlarged uterus. I would like to understand the cause and the treatment options. Thank you.Doctor's answer:
Chocolate cysts are caused by the implantation of endometrium in the ovary. Uterine fibroids may be related to endocrine factors. The main treatment methods include drug therapy and surgical therapy. The treatment principle is that young women with fertility requirements are generally treated with drug therapy. If the symptoms are severe, the effect of drug therapy is not significant, or there are large cysts in the ovary, surgical therapy can be adopted, such as cyst aspiration, cystectomy, or oophorectomy of the affected side, to ensure normal ovarian function and fertility. Laparoscopic and minimally invasive surgical therapies can be used, which are safe and effective, and maximize the preservation of normal ovarian tissue, thereby achieving the treatment goal.