Treatment for Endometriosis(2)

If the use of drugs for six months or even a year can not produce an obvious effect, surgery should be considered.

 

If the patient is young and has no children, the endometriosis lesions are usually removed during the operation, while the uterus and normal ovarian tissue are preserved. It's called conservative surgery. The operation retains the possibility of fertility but has a greater chance of recurrence. If there are children and the patient is older than 35, the endometriosis can be removed at the same time, but the normal ovarian tissue can be preserved.

 

In the long run, the effect of this method is better than conservative operation, but it can not absolutely prevent recurrences. If the patient is near menopause, or endometriosis is too extensive to be eradicated completely, the uterus and ovary should be removed together during the operation.

 

In recent years, the wide application of laparoscopy has made the treatment of endometriosis have a new choice, especially in foreign countries, the combination of laparoscopic surgery and Goserelin has become a more and more extensive treatment program.