hello doctor.. past 3 years I am having very painful periods.. this time pain didn't go even after periods.. no medicine helped with pain.. after scanning there was 25×17mm left ovarian endometrioma cyst and small intramural uterine fibroid.. my doctor said that uterus and left ovary should be removed if the pain didn't go..
is there any treatment other than surgery?.. please help

Question

hello doctor.. past 3 years I am having very painful periods.. this time pain didn't go even after periods.. no medicine helped with pain.. after scanning there was 25×17mm left ovarian endometrioma cyst and small intramural uterine fibroid.. my doctor said that uterus and left ovary should be removed if the pain didn't go..
is there any treatment other than surgery?..  please help

Accepted Answer

consult the doctor

Accepted Answer

for cyst  you can have medications . but conserving about uterine fibroid there is no medication and you need to go for surgery if you are having more of severe pain

Accepted Answer

Dealing with persistent and painful periods, along with findings of endometrioma cyst and uterine fibroid, can indeed be challenging. Here are some options and considerations to discuss with your doctor:

1. **Medical Management:**
   - **Pain Relief:** Non-surgical treatments for managing pain include over-the-counter pain relievers like ibuprofen or naproxen. Your doctor may prescribe stronger pain medications if needed.
   - **Hormonal Therapy:** Hormonal treatments such as birth control pills, hormonal intrauterine devices (IUDs), or hormonal injections can help regulate menstrual cycles and reduce pain associated with endometriosis and fibroids.
   - **Gonadotropin-Releasing Hormone (GnRH) Agonists:** These medications induce a temporary menopause-like state, reducing symptoms by lowering estrogen levels. They are typically used for short-term relief or before surgery.
   - **Progestin Therapy:** Progestin-only treatments can help manage symptoms of endometriosis and fibroids by thinning the uterine lining and reducing menstrual bleeding.

2. **Lifestyle and Home Remedies:**
   - **Heat Therapy:** Applying a heating pad or taking warm baths can help relax pelvic muscles and alleviate pain.
   - **Exercise and Relaxation:** Regular exercise and relaxation techniques such as yoga or meditation can help manage stress and potentially reduce pain.

3. **Alternative Therapies:**
   - **Acupuncture:** Some women find relief from menstrual pain through acupuncture sessions.
   - **Nutritional Supplements:** Certain supplements like magnesium or omega-3 fatty acids may offer some relief, though their effectiveness varies.

4. **Conservative Surgery:**
   - **Laparoscopic Surgery:** A minimally invasive surgical approach can be used to remove endometriosis implants, drain cysts, or remove fibroids without removing the uterus or ovaries, preserving fertility.

5. **Second Opinion:**
   - Considering the complexity of your case, seeking a second opinion from a specialist in gynecological conditions, such as a reproductive endocrinologist or a gynecological surgeon, may provide additional insights and treatment options.

Discuss these options with your doctor to determine the best course of action based on your specific symptoms, medical history, and goals. They can provide guidance tailored to your individual needs and help you make informed decisions regarding your treatment plan.

A. for cyst you can have medications . but conserving about uterine fibroid there is no medication and you need to go for surgery if you are having more of severe pain

A. consult the doctor

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