How to effectively treat endometrial tuberculosis?

There are many causes of endometrial tuberculosis, and in many cases, the cause of endometrial tuberculosis is the key to determining the treatment plan. Therefore, the cause of endometrial tuberculosis should be understood. In addition to this aspect, the treatment methods should also be understood. The following are some 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.

The choice of treatment method for endometrial tuberculosis should be made with caution. It should be noted that traditional treatment methods for endometrial tuberculosis can easily cause damage to the patient's body. Even if the disease is completely cured, postoperative care will be very troublesome. Therefore, we must pay attention to this aspect.