Patient's question:
The illness has been present for 4 years, with menstrual pain accompanied by blood clots. I was examined at a local hospital, where only a color Doppler ultrasound was performed. The doctor recommended surgery to remove the uterus. Is it absolutely necessary to have the surgery?Doctor's answer:
Symptoms of adenomyosis are severe or if the patient does not need to retain fertility, the uterus can be removed while trying to preserve the ovaries. If pelvic endometriosis is also present, efforts should be made to remove the lesions while preserving ovarian function, allowing the patient to naturally transition into menopause.Advice: For those who wish to conceive, hormone treatment for 6 to 12 months can be used, with the hope of achieving pregnancy in the short term. If discovered during surgical exploration, the adenomyoma should be removed while preserving the uterus.