What is the best treatment for endometriosis? What is the surgery for removing the uterus?

Patient's question:

Hello, I am 36 years old. In October 2005, an ultrasound examination revealed that the uterus was enlarged and deformed, with a 7mm x 6mm hypoechoic area in the posterior wall muscle layer. Now, I experience severe menstrual pain every month. Some doctors have recommended removing the uterus. What surgeries can be used to remove the uterus? Which hospital in Guangzhou can perform this procedure, and what is the approximate cost?

Doctor's answer:

Surgery is the primary method for treating endometriosis because it allows for a clear identification of the extent and nature of the lesions under direct visualization, offering effective relief from pain and improvement in fertility. The course of treatment is relatively short, particularly for severe cases where fibrosis is extensive and adhesions are tight, making medication less effective. For larger ovarian endometriomas that do not respond to medication, surgery may still preserve functional ovarian tissue. Surgical approaches can be categorized into three types: conservative surgery, semi-radical surgery, and radical surgery.

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