Endometriosis, it has always prevented me from becoming a mother.

Patient's question:

Patient: Female, 29 years old, previously in good health
Condition:
1. Irregular menstruation, dysmenorrhea
2. Unable to conceive after being married for many years

Doctor's answer:

Surgery is the primary method for treating endometriosis because it allows for the visualization of the lesion's extent and nature under direct observation, resulting in effective pain relief and improved fertility. The treatment course is relatively short, especially for severe cases with extensive fibrosis and dense adhesions where medication is often ineffective. For large ovarian endometriomas that do not respond to medication, surgery may still preserve functional ovarian tissue. Surgical approaches can be categorized into three types: conservative surgery, semi-radical surgery, and radical surgery.