How is endometriosis treated?

Written by Li Shun Hua
Obstetrics and Gynecology
Updated on January 17, 2025
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Treatment methods for endometriosis include conservative treatment and surgical treatment. If the patient's symptoms are relatively mild, the dysmenorrhea is not very severe, and there is no occurrence of excessive menstruation or prolonged menstrual period, conservative treatment can be applied. Common conservative treatment methods include oral contraceptive pills, and a levonorgestrel-releasing system can be placed inside the uterine cavity. If the patient has reproductive demands and the symptoms are more severe, or if there is a chocolate cyst on both ovaries, surgical treatment can be performed, but the recurrence rate after surgery is also relatively high. (The use of medication should be under the guidance of a doctor.)

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Written by Yue Hua
Obstetrics and Gynecology
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How is endometriosis diagnosed?

Endometriosis is a condition where the uterine lining grows outside of the uterine cavity, commonly seen in the pelvic region, particularly above the ovaries. Therefore, ultrasound (B-ultrasound) examinations are primarily used for accuracy. The ultrasound may reveal a large mass on one side of the fallopian tubes or ovaries, with uneven content inside. During the ultrasound, it can also be observed that the capsule of the mass is intact. Additionally, during a gynecological examination, the doctor may also feel a mass in the adnexa.

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Written by Yue Hua
Obstetrics and Gynecology
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Can endometriosis lead to pregnancy?

Endometriosis can lead to pregnancy, but about 50% of those affected may not conceive. This is because the disease can cause abnormal anatomical structures in the female pelvic, leading to extensive adhesions around the fallopian tubes, thus affecting the movement of the tubes. This, in turn, impairs their function in transporting the fertilized egg. Therefore, for patients wishing to conceive, it is advisable to monitor follicular development with an ultrasound and have intercourse during the ovulation period, which could increase the chances of pregnancy.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Can endometriosis be cured?

The treatment of endometriosis should be determined based on the individual's specific circumstances. Complete cure typically requires the removal of both ovaries. As long as the ovaries are present, there generally is no talk of a complete cure; treatment can only control the condition. It is possible to surgically remove lesions and use medication to reduce the likelihood of recurrence. The specific treatment for endometriosis should be determined based on factors such as age, whether there is a desire for children, and specific symptoms like painful periods and bleeding conditions.

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Written by Zhang Lu
Obstetrics
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How is endometriosis diagnosed?

Endometriosis refers to the occurrence of endometrial tissue outside the uterine cavity, a common gynecological condition that often leads to painful menstruation, pain during intercourse, and infertility. Diagnosing endometriosis involves several approaches. First, inquire about the patient's clinical symptoms, including any painful menstruation and pain during intercourse. Second, a pelvic ultrasound should be performed to observe the situation inside the pelvis, assessing for any ovarian endometriotic cysts or pelvic endometriotic lesions. Third, a blood test for CA-125 can be conducted, as the levels of CA-125 tend to increase with endometriosis. Fourth, laparoscopy can be used to collect local tissue for pathological examination, which is the gold standard in diagnosing endometriosis.

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Written by Zhang Hui
Obstetrics and Gynecology
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How many days does the pain from endometriosis last?

Endometriosis refers to the condition where active endometrial cells implant outside the uterine lining. It is a relatively common gynecological disease. Pain usually begins one to two days before menstruation starts, is most severe on the first day of menstruation, and gradually lessens thereafter. The pain generally persists throughout the menstrual period. It is advised that patients with endometriosis seek timely treatment under the guidance of a clinical doctor, based on their individual conditions, to prevent the progression of the disease and serious health consequences.