Patient's question:
I have endometriosis.Doctor's answer:
Generally, chocolate cysts that occur on the ovaries often have a larger lesion volume, or endometriotic nodules in other locations with a diameter of 2 centimeters or more, are difficult to control with medication and require surgical treatment. Alternatively, if the condition does not improve after six months or even a year of medication, surgery should also be considered.If the patient is young and does not have children, the surgery typically involves removing only the endometriotic lesions while preserving the uterus and normal ovarian tissue. This is known as conservative surgery. This approach maintains the possibility of future fertility but carries a higher risk of recurrence.
If the patient already has children and is older (e.g., 35 years old), the uterus can be removed along with the endometriotic lesions while preserving the normal ovarian tissue. In the long term, this method is more effective than conservative surgery but cannot completely prevent recurrence.
If the patient is nearing menopause or the endometriotic lesions are too widespread to be completely eradicated, the uterus and ovaries should be removed together during surgery.
Below are some highly specialized hospitals you may consider: Shengjing Hospital Affiliated to China Medical University, Shenyang Military Region 242 Hospital, and Liaoning Provincial Hospital of Anorectal Diseases.