50岁巧克力囊肿腺肌症，不孕救助陈凤林教授 50 years old chocolate cystic adenomyosis, infertility relief Professor Chenfenglin

50岁不孕症，还患有腺肌症，巧克力囊肿是否还能治疗?请听听陈凤林教授的答复：

Infertility 50 years old, still suffers from adenomyosis, does chocolate cyst still be able to treat? Please listen to Professor Chenfenglin's reply:

尊敬的陈院长：您好!我是湖南湘西一位关注您朋友圈很久的妇科病患，也看过一些关于您个人从蒙古小山村一步步成长为拥有高超医术，优质医德方面的资料，敬佩不已!

Dear Dean Chen: Hello! I am a patient in Hunan Xiangxi who has been concerned about your friend's circle for a long time. I have also seen some information about your personal growth from a Mongolian mountain village to a superb medical skill and high-quality medical ethics. I admire it!

今天冒昧打扰，就我个人患病情况向您请教治疗方向，恳请院长理解并给予指导：

I would like to take the liberty of asking you for advice on the treatment of my personal illness today.

我今年50岁，先生今年52，我们于17年初婚，未生育。

I am 50 years old, sir. I am 52 years old. We were first married in 17 years and had no children.

我目前面临的问题：一是有子宫腺肌症合并腺肌瘤，左侧卵巢还有巨大巧克力囊肿(92/73/59mm);二是超高龄，卵巢功能下降，卵泡发育情况不好;三是面临更年期;四是糖类抗原125偏高，为75.63，正常值为0～35。

The problems I currently face: First, there is adenomyosis and adenomyoma, and there is a huge chocolate cyst on the left ovary(92/73/59 mm); The second is super old age, ovarian function decline, follicular development is not good; The third is facing menopause; Fourth, sugar antigen 125 is high, 75.63, and the normal value is 0 to 35.

面对这样的情况，我们想尽量兼顾治病和生育。故请教您几个问题：

In the face of this situation, we want to try to balance treatment and fertility. So ask you a few questions:

一是我这样的情况是否有生育的可能?

Is it possible for me to have children?

二是在治病和寻求辅助生育措施，是同时进行?还是先治病?

Second, in the treatment of diseases and seek assisted fertility measures, is it carried out at the same time? Or cure first?

三是若无生育可能，仅治疗巧克力囊肿和腺肌症，有无对子宫和卵巢无伤害的方案?

Third, if there is no possibility of fertility, only the treatment of chocolate cysts and adenomyosis, there is no harm to the uterus and ovaries of the program?

下面是我的一些检查报告，有些是是前两年在中信湘雅做的，现在情况肯定会更不好，供您判断时参考。

Here are some of my inspection reports. Some of them were done in CITIC Xiangya in the previous two years. The situation will certainly be worse now for your reference.

情急之下，周末打扰。万分惭愧并感谢!In a hurry, excuse me for the weekend. So ashamed and thankful!

望谅，盼复!Hope, hope!

陈凤林教授答复：即刻口服避孕药如达英抑制排卵，保存为数不多的卵子，火速过来，三D宫腹腔镜下剔除腺肌症肌瘤和巧克力囊肿病灶，恢复解剖生理功能，可望术后停用避孕药后，排出正常卵子自然受孕