As the old saying goes, “disease does not come from a single person. Many people are often not suffering from a single disease, but rather from a combination of conditions, such as adenomyosis patients. Adenomyosis combined with uterine fibroids and adenomyosis combined with chocolate cysts are common. In recent times, there are a little more cases of coeliac disease. At the beginning of the consultation, people were asking whether adenomyosis and coeliac disease can be treated together. How to avoid recurrence? I heard that coeliac disease has a high cancer rate, how to prevent it? In fact, to put it simply, adenomyosis and chocolate cysts belong to the same family – endometriosis. In the former case, the focal tissue is ectopic down to the myometrium; in the latter case, the ectopic endometrium grows in the ovarian cortex and bleeds periodically, resulting in single or multiple cysts, typically with old blood inside the cyst forming a coffee-colored sticky fluid that resembles chocolate. The pathology of both is very similar and the clinical manifestations are mostly consistent, such as dysmenorrhea, painful intercourse, and the fact that it can affect fertility. However, compared to adenomyosis, chocolate cysts tend to be more frightening to patients because of the high recurrence rate and the slightly higher possibility of cancer. How to prevent and control the “cancer” rate of adenomyosis and chocolate cysts? In this era of “cancer”, people may be more concerned about the carcinogenicity of adenomyosis and coeliac disease. In fact, there are benign and malignant lesions. Generally, benign lesions can be cured by suffering at most, but malignant cancer is different in nature and is a direct threat to life. As far as clinical cases are concerned, the cancer rate of coelecysticercosis is slightly higher than that of adenomyosis, but it is only 2%, which is not too high, so patients with adenomyosis or coelecysticercosis do not need to panic too much, but they should not take it lightly. The size of the cochlear cyst is 4CM-5CM, beyond that it is prone to cancer. I once met a patient with adenomyosis combined with coeliacs and found that her coeliacs were already up to 9cm in size when she was examined! When she was asked why she didn’t treat it earlier, she said that it couldn’t be cured anyway and the recurrence rate was so high, so it would be futile to treat it, so she might as well just let it grow. What a terrible idea! Many patients don’t understand that most of our doctors used to take 5cm as the limit for coeliacs, and if its size exceeded 5cm, it would need surgery. However, in view of the fact that the coelecysts are planted on the ovaries and the probability of deterioration of various tumors is relatively high, nowadays, the size of the coelecysts is usually 4cm as the standard, and if it is more than 4cm, we should be alert to the occurrence of deterioration and cancer! Clinical manifestations of adenomyosis and coeliac cancer: The clinical manifestations of coeliac cancer are similar to those of adenomyosis, such as: sudden and rapid growth of the coeliac volume over a period of time, far exceeding 4cm, or persistent dysmenorrhea, abdominal pain outside the menstrual period, and vaginal blood clots, or a sudden increase in the value of ca125 over a period of time by Ca125 test. …… These may be the precursors of coeliac disease deterioration and cancer, we should pay attention to it and seek medical attention in time. What if adenomyosis is combined with coeliac disease, do I need to undergo surgery on each one separately? It is not necessary at all, both can be operated at the same time. Both can be removed at the same time through adenomyosis preservation U surgery. It depends on the degree of deterioration of the lesion whether the ovaries can be preserved, fertility can be preserved, and whether the left side or the right side can be removed ……. The procedure usually involves a quick frozen section to diagnose the degree of coeliac disease and whether it is benign or malignant, and the examination takes about 30-40 minutes. There is no surgical conflict between the two and they can be completely resolved together. How to prevent postoperative recurrence of adenomyosis and coeliac disease? The recurrence rate of adenomyosis after U surgical treatment is 3 per 1,000, which is very low, and the hospital can promise to perform a second surgery for free after recurrence to ensure the fundamental rights of patients. However, the high recurrence rate of coeliac disease is a common problem in the medical field, which can generally be as high as about 49%. Therefore, we require patients to maintain medication after coeliac surgery, mainly to reduce its recurrence rate, and to use drugs such as pregnancy three for six months after surgery, which can basically reduce its recurrence rate to about 18%. In short, at present, adenomyosis and chocolate cysts are common gynecological diseases, we do not need to panic about this disease, but also can not be too careless. You can return to health by observing and taking precautions, seeking medical attention when the condition is abnormal, and choosing the right treatment a style.