The dangers of ovarian removal for endometrial cancer

We know that the formation of endometrial cancer is mostly caused by the unbridled estrogen in the body. Because estrogen can continuously stimulate the growth of the endometrium, and there is a lack of progesterone to help it fall off (menstruation). In this way, the long-term existence of the thickened endometrium provides conditions for the formation of endometrial cancer.

Most women suffer from endometrial mutations due to their own endocrine factors or long-term abuse of drugs and health products containing estrogen. Endometrial cancer caused by this reason is also called "estrogen-dependent endometrial cancer", which accounts for 80% of all endometrial cancers, but the treatment effect is generally better.

If patients with stage 1A want to have children, they can avoid surgery by sending progesterone.

Young patients who have not yet given birth generally want to keep their ovaries. And a large number of them suffer from polycystic ovary syndrome (PCOS). A major feature of PCOS is the absence of ovulation. Without ovulation, there is no progesterone production, and then there is no menstruation or menstruation comes only once in a long time. But fortunately, when PCOS patients are generally found, the cancer is not deep, and it belongs to the early stage of 1A cancer. We send out "progesterone" to achieve the therapeutic effect of balancing "estrogen".

For the treatment of patients with stage 1A endometrial cancer, the lesions of endometrial cancer can be removed under hysteroscopy. Then the patient is given a high-efficiency progestin, and under the action of progestin, the endometrium begins to shed and menstruate. After several menstrual cycles, the endometrium is renewed and the condition of most patients can generally be reversed. After the tissue structure of the endometrium returns to normal, it is best for the patient to become pregnant as soon as possible (the endometrium will no longer grow after pregnancy, thus cutting off the soil for the growth of endometrial cancer). For patients with polycystic ovary syndrome who have difficulty ovulating, they can go to a reproductive center for assisted pregnancy after progestin treatment.

However, all patients who use progesterone therapy should be reminded that after the treatment, whether or not they get pregnant immediately, they should be checked over a long period of time. This is because many patients experience recurrence after giving birth. This is especially true for patients who are obese, have polycystic ovaries, do not ovulate, or are insulin resistant.