Will endometriosis recur after surgery?

Endometriosis often occurs during the reproductive age and is closely related to infertility. Therefore, the goal of treatment is to cure the symptoms, prevent recurrence, and promote pregnancy. Treatment methods vary according to the location, extent and requirements of the disease, and are generally divided into medical and surgical treatments. Will endometriosis relapse after surgery?

Will endometriosis relapse after surgery?

For women with a history of infertility, if both fallopian tubes are smooth, the ovulation temperature is biphasic, the uterine wall response is good, and the couple's sexual intercourse tests are normal, the possibility of endometriosis should be considered.

Endometriosis is a gynecological disease caused by the growth of the uterine wall anywhere outside the uterine body. For example, it can occur in the uterus, ovaries, uterosacral cruciate ligaments, the serosa of the posterior wall of the lower uterus, the uteroduodenal pouch and the pelvic retroperitoneum of the sigmoid colon, and it can also occur in the uterine muscle layer. Therefore, in clinical medicine, endometriosis is divided into extrinsic endometriosis and essential endometriosis.

Patients often seek medical attention with a history of infertility, dysmenorrhea, and pelvic pain. Reports from various countries around the world show that the infertility rate among patients with endometriosis is around 40%. The relationship between this disease and infertility has attracted clinical attention, and endometriosis is considered one of the main causes of infertility.

Therefore, in clinical medicine, for women with a history of infertility, if both fallopian tubes are smooth, the ovulation temperature is biphasic, the uterine wall response is good, and the couple's tests after sexual intercourse are normal, the possibility of endometriosis should be considered.

Endometriosis often occurs during the reproductive age and is closely related to infertility. Therefore, the goal of treatment is to cure the symptoms, prevent recurrence, and promote pregnancy. Treatment methods vary according to the location, extent and requirements of the disease, and are generally divided into medical and surgical treatments.

Surgery is effective in relieving pain and promoting fertility, so it is an important measure for treating endometriosis. For critically ill patients, if the disease is very large, there are many fibrosis processes, and the adhesions are inseparable, general drugs are ineffective. Cases of large uterine and ovarian endometrioid cysts, patients with adenomyosis who have not responded to medication, and patients with unsuccessful medication treatment.

Endoscopic diagnosis and treatment of pelvic inflammatory disease and infertility

Some patients with pelvic inflammatory disease will experience rapid improvement or regression of symptoms after partial drug treatment, but this does not mean that the inflammation has been cured, but that the pathogens have been temporarily suppressed. Then, due to discontinuation of medication or incomplete treatment, inflammation recurs, is difficult to cure and leads to infertility. Therefore, in order to completely cure pelvic inflammatory disease, in addition to persisting in treatment, standardized diagnosis and treatment are also required.

Treatment methods such as medicine, physics and surgery vary from person to person. The newly adopted endoscopic treatment of pelvic inflammatory disease has the advantages of smooth diagnosis and treatment and high diagnosis rate. The trauma is small, the recovery is fast, the hospitalization time is short, and we have unique insights into the diagnosis and treatment of infertility. The following can be diagnosed under hysteroscopy: bilateral fallopian tube, uterus and ovarian masses, pelvic adhesions, pelvic effusion, hydrosalpinx, bilateral fallopian tube fimbriae obstruction, endometritis, and intrauterine adhesions. The diagnosis has scientific accuracy, and can also make etiological diagnosis and bacterial culture sensitivity test.

Endoscopic diagnosis and treatment of pelvic inflammatory disease infertility include:

1. Separation of intrauterine adhesions;

Second, bilateral proximal fallopian tube obstruction and catheterization;

3. Laparoscopic surgery for the treatment of bilateral fallopian tube inflammation;

4. Treatment of bilateral pyosalpingitis;

5. Treatment of chronic salpingitis;

6. Treatment of bilateral fallopian tube fimbriae obstruction;

7. Pelvic adhesion separation surgery.

For healthy women, they should actively prevent pelvic inflammation symptoms in terms of menstrual hygiene, cleanliness, and prevention of surgical infection.