How to treat endometrial tuberculosis?

The factors that lead to endometrial tuberculosis in women are relatively complex, but when treating, it must be treated according to its cause. This is a scientific treatment method, and the choice of treatment method is also very important. For different conditions, different physical conditions, etc., the appropriate treatment method will also be different. The following is an introduction to the common treatment methods for endometrial tuberculosis:

1. Surgical treatment: Surgery is the main method for treating endometrial tuberculosis, because the scope and nature of the lesion can be basically determined under direct vision, and it is effective in relieving pain and promoting reproductive function. Surgery can be divided into open surgery and laparoscopic minimally invasive surgery. If necessary, combined laparoscopic and hysteroscopy can be performed.

(1) Laparotomy for endometrial tuberculosis: This surgical method is mostly used for endometrial tuberculosis combined with adenomyosis or a history of multiple surgeries, and for patients with severe pelvic adhesions. Laparotomy can carefully separate the adhesions, more thoroughly remove the lesions, and satisfactorily suture the wound (which is beneficial for future pregnancy). The hospital stay after surgery is 3 days longer than that of laparoscopic surgery, and the sutures on the abdominal wall wound do not need to be removed.

(2) Laparoscopic surgery for endometrial tuberculosis: This surgery is mostly used to treat endometrial tuberculosis combined with ovarian chocolate cysts, or for those with mild adhesions, such as those who want to have children and open the fallopian tubes at the same time. The surgical incision is small and the recovery is relatively fast.

2. Conservative treatment: Based on the different clinical symptoms of patients with endometrial tuberculosis, combined with reasonable examinations and medication, but many years of clinical data show that conservative treatment is not effective, and most patients still need surgical treatment in the end.

Generally speaking, conservative treatment is not recommended. For a highly harmful disease like endometrial tuberculosis, the limitations of conservative treatment are very obvious. Not only is there no obvious effect in treatment, but even after being cured, the damage to the body is relatively large. Therefore, you should also be careful when choosing a treatment method.