Adenomyosis and ovarian cysts can be treated with medication, surgery or a combination of treatments. The specific choice should be based on a personalized assessment of the patient's age, symptom severity and reproductive needs. If the symptoms are mild, medication can be tried. If the symptoms are severe or the medication is ineffective, surgical treatment should be considered. For drug treatment, commonly used gonadotropin-releasing hormone agonists (GnRH-a) can effectively inhibit hormone secretion, thereby reducing lesion stimulation; oral contraceptives, especially those containing progesterone, can help relieve dysmenorrhea and reduce lesion activity; for ovarian cysts, progesterone can help improve cyst symptoms and prevent cyst growth. If the drug cannot completely relieve symptoms or the cyst is large, surgery is the main solution. Conservative surgery such as laparoscopic lesion removal, pain relief, and cyst removal can help protect reproductive function; if the patient has no fertility needs and the lesion is more serious, hysterectomy or combined ovarian resection can be selected. In recent years, minimally invasive surgeries such as vaginal surgery and laparoscopic techniques have been widely used, with less trauma and faster recovery, and are the preferred choice for surgical treatment. For patients planning pregnancy, assisted reproductive technology can be combined with treatment to increase the probability of pregnancy. For drug treatment, commonly used gonadotropin-releasing hormone agonists (GnRH-a) can effectively inhibit hormone secretion, thereby reducing lesion stimulation; oral contraceptives, especially those containing progesterone, can help relieve dysmenorrhea and reduce lesion activity; for ovarian cysts, progesterone can help improve cyst symptoms and prevent cyst growth. If the drug cannot completely relieve symptoms or the cyst is large, surgery is the main solution. Conservative surgery such as laparoscopic lesion removal, pain relief, and cyst removal can help protect reproductive function; if the patient has no fertility needs and the lesion is more serious, hysterectomy or combined ovarian resection can be selected. In recent years, minimally invasive surgeries such as vaginal surgery and laparoscopic techniques have been widely used, with less trauma and faster recovery, and are the preferred choice for surgical treatment. For patients planning pregnancy, assisted reproductive technology can be combined with treatment to increase the probability of pregnancy. In daily life, you need to maintain a regular schedule to reduce the possibility of worsening symptoms. The diet should be light, increase fiber-rich foods such as vegetables and whole grains, and reduce the intake of hormone-containing foods such as certain meats and dairy products to reduce estrogen levels in the body. Moderate exercise can relieve menstrual pain. Common exercises include walking, yoga or swimming, which can help improve your mood. Long-term management requires regular physical examinations, B-ultrasound and blood hormone level monitoring to understand changes in the condition, and timely medical treatment to adjust the treatment plan. If abnormal pain persists or examinations indicate that the cyst is growing rapidly, you should consult a specialist as soon as possible to develop the next treatment plan. |
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