Prevention of Endometriosis Recurrence Needs Long-term Management

Endometriosis refers to the the formation of endometrial cells outside the uterine cavity, which is a common female gynecological chronic diseases. Endometrial cells should grow in the uterine cavity, but because the uterine cavity is connected to the pelvic cavity through the fallopian tube, and endometrial cells can enter the pelvic cavity, leading to ectopic growth during the menstrual period through the fallopian tubes. Endometriosis is a common and frequently-occurring disease in women of childbearing age. Endometriosis is characterized by extensive lesions, diverse morphology, aggressive and recurrent sex hormone dependence. The incidence rate of endometriosis in women of childbearing age is about 15%. More than 50% of patients with endometriosis have obvious dysmenorrhea and 30% of them are combined with infertility. Although endometriosis is benign lesions, it has the ability of local implantation, infiltration growth and distant metastasis similar to malignant tumors. Endometriosis has a great harm to women, and brings certain influence to their life and work. Moreover, it is difficult to achieve the goal of radical cure, and the recurrence rate is very high. Because of the high recurrence rate of endometriosis, the treatment of initial and recurrence of endometriosis is particularly important. Endometriosis recurrence refers to the recurrence of clinical symptoms after the remission of symptoms caused by surgery and/or drug treatment, and the return to pre-treatment levels or aggravation or recurrence of endometrial cyst. Recurrence of endometriosis should take the radical reason into consideration, and patients should know what is the difference from the first onset. According to the different symptoms, patients should take drugs or surgical treatment. Usually, herbal medicine Fuyan Pill can be used to improve the endometriosis symptoms with no side effects. Patients should basically follow the principle of primary administration, while it should be individualized. After surgical treatment, if there is recurrence, the first choice of drug therapy will be ineffective, then you should consider surgery. If patients are older, childless and symptomatic, hysterectomy or hysterectomy with bilateral accessory may be considered. The drug that patients choose should have non-steroidal body to fight inflammation drug (NSAIDS) or belong to sex hormone drugs. Young people who need to preserve their reproductive function may undergo surgery or ultrasound-guided puncture, postoperative medical treatment or assisted reproductive technology. Surgery is advisable for older patients or for those whose imaging examination indicates that there is no malignant part or obvious blood flow in the capsule. How to prevent recurrence of endometriosis: 1. Pregnancy should be carried out as early as possible if there are fertility requirements. 2. The operation should be thorough sad1) remove the chocolate cyst (2) Excise DIE lesions Deep invasive endometriosis (DIE) is one of the important causes of persistent pain and recurrence of endometriosis. There is increasing evidence that deep sexual pain and rectal pain symptoms in patients with endometriosis are closely related to DIE. Therefore, removal of DIE lesions can significantly improve these symptoms.