Endometrial polyps, ovarian cysts - do these require surgery?

Patient's question:

After 11 years of miscarriage, my abdomen has been in pain. The examination revealed appendicitis and pelvic inflammatory disease, which have been lingering without full recovery. Dysmenorrhea, with right lower abdominal pain during menstruation. The menstrual period lasts for 8 days, with brown discharge in the post-ovulatory phase. The menstrual cycle is regular. One to two weeks after menstruation, sometimes right lower abdominal pain, lower abdominal swelling and pain. Right lower abdominal pain upon palpation.

Doctor's answer:

I think your endometrial polyps don't have any symptoms, and your menstrual cycle and flow are still relatively normal. Some polyps may lead to difficulty in getting pregnant, but others may not necessarily affect fertility. You can wait and see for a few more months and may not need surgery. If you want to get pregnant, you can also try that first.
Regarding the ovarian cyst, it's very small, so regular check-ups are sufficient. Abdominal pain doesn't necessarily mean pelvic inflammatory disease. When you experience abdominal pain, it's best to go to the hospital for a check-up of your vaginal discharge and internal examination to get a clear diagnosis. There's a term called chronic pelvic pain, which can be caused by many factors, including issues with other organs or functional disorders.

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