Patient's question:
In March, I experienced lower abdominal pain and dysmenorrhea. I visited the Women's and Children's Hospital, Mingzhou Hospital, Traditional Chinese Medicine Hospital, and Yinzhou People's Hospital.Doctor's answer:
For patients with more severe adhesion-related conditions, especially in medical institutions without laparoscopic equipment or for those with limited laparoscopic proficiency, laparotomy can be performed to separate adhesions, remove endometrioma of the ovary, and preserve as much normal ovarian tissue as possible. If the lesion is limited to one side and severe, while the other side is normal, some advocate for the removal of the affected adnexa. This approach has a higher pregnancy rate compared to preserving the affected ovary. Simple uterine suspension can also be performed. Whether to perform presacral nerve resection is debatable.