Years of dysmenorrhea, irregular vaginal bleeding

  The patient: menstrual pain has been about more than 10 years, from last November checkups detected cysts, in March this year to go to the re-examination, the results found that the body of the uterus 54MM long 52MM wide 37MM thick muscle layer echogenicity, uniform endometrial echogenicity: 14MM thick inhomogeneous left ovary: internal fluid area 49 * 30MM internal light band and light dot CDFI: the mass around the detection of star-like blood flow signal eat a few months The cysts are still the same size, but not smaller. The cysts are still the same size and not smaller. I have irregular vaginal bleeding, especially during intercourse, and sometimes I bleed and sometimes I don’t. I want to ask why I have irregular bleeding from the vagina, especially during intercourse, and sometimes it bleeds, but sometimes it doesn’t. I had a white blood test and it didn’t show any inflammation, but the report shows star-like blood flow. Is this not inflammation? And is my cyst considered large and should I have surgery? Please help me.  The First People’s Hospital of Guangzhou, Department of Obstetrics and Gynecology He Huiyi: Ovarian cysts are not very large, combined with irregular bleeding and ultrasound tips to see, need surgery.  The actual fact is that the actual cyst will continue to grow if it is not taken care of in time, and will also affect fertility, right? I had a white blood test and it didn’t show any inflammation, why do I have irregular bleeding in my lower body and the report shows a star-like blood flow signal? The first people’s hospital in Guangzhou, the Department of Obstetrics and Gynecology He Huiyi: In addition to cysts, irregular bleeding to exclude the endometrial lesions, bleeding is not inflammation. The cysts will increase in size if not done, and may affect fertility. Surgery is recommended and minimally invasive laparoscopic surgery can be considered .  Patient: Thank you very much. Thank you!