Is the recurrence rate high after endometrial thickening surgery?

Experts point out that the factors that lead to thick endometrium in women are relatively complex, but treatment must be based on the 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 high recurrence rate of endometrial thickening after surgery:

1. Surgical treatment: Surgery is the main method for treating endometrial thickness, 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 thick endometrium: This surgical method is mostly used for patients with thick endometrium, combined with adenomyosis or a history of multiple surgeries, and 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 the operation 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 thick endometrium: This surgery is mostly used to treat thick endometrium 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 thick endometrium, 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 disease as harmful as thick endometrium, the limitations of conservative treatment are very obvious. Not only is there no obvious effect in treatment, but even after recovery, the damage to the body is relatively large. Therefore, you should also pay attention to the choice of treatment method.