Patient's question:
Endometriosis surgery had the ovaries and uterus removed together. It has been one month since the surgery, and there is still a small amount of bleeding.Doctor's answer:
Treatment of Endometriosis:1. Medication:
- Ovulation-suppressing drugs such as Danazol, Norethisterone, Gossypol, and GnRH agonists.
- Ovulation-inhibiting drugs such as Funing Pian (Megestrol), Fuke Pian (Norethisterone), and Puvwela (Progesterone).
- For severe pain, medications like Flurbiprofen, Indomethacin, Advil, and Keferlan can be used.
2. Surgical Treatment:
- There are two types of surgery: conservative and radical.
- Young patients or those who still need to preserve fertility can undergo conservative surgery, such as cystectomy and lesion resection.
- For those who no longer wish to have children, radical surgery can be performed, including the removal of the entire uterus and lesions, while retaining one or both ovaries. Postoperative medication can help reduce recurrence rates.
- Women near menopause can undergo radical surgery, including the removal of the entire uterus, both ovaries, fallopian tubes, and lesions, to prevent recurrence.