Patient's question:
I have been experiencing heavy menstrual bleeding for the past six months. On March 21st of this year, I went to the hospital for a check-up and was diagnosed with adenomyosis. A cystic mass was found in the right adnexa, measuring 4.02.63.3 cm, and a 1.5 cm cystic mass was observed on the right ovary, both with blood flow signals.Doctor's answer:
Those who no longer have fertility requirements should opt for total hysterectomy while preserving the ovaries as much as possible. If pelvic endometriosis is also present, efforts should be made to remove the lesions while preserving ovarian function, allowing the patient to undergo natural menopause. For those who wish to conceive, hormone therapy for 6 to 12 months can be administered, with the hope of achieving short-term pregnancy after stopping the medication. If this is discovered during surgical exploration, consideration should be given to removing the adenomyoma while preserving the uterus.