Hi Doc, my wife has a severe pelvic pain. It looks like during menstruation period the blood sits inside the womb and not come out. This blood has been removed on two different occasions. The doctor is recomending removal of womb. is there an alternative? What causes this?
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It is difficult to comment on the situation without examining her and going through her investigation results. The exact cause for her symptoms needs to be established. If the causes include possibilities of pelvic adhesions, endometrial implants/growths, adenomyosis, etc, then Laparoscopic surgery would help in removing these lesions. If the endometriosis or adhesions, adenomyosis are extensive, then hysterectomy (removal of uterus) might be recommended. However, symptoms can recur until she reaches menopause or until surgical menopause is achieved by removal of ovaries along with hysterectomy. You can also consider taking a second opinion for her condition from another gynecologist before proceeding with further management. She should be in regular monitoring and follow-up with her treating doctor/gynecologist and report any new/abnormal symptoms immediately.
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