Patient: Ultrasound findings: posterior uterus, normal size, clear uterine cavity line, endometrial thickness of 1.0 cm, myometrial echogenicity is uneven, large equal amount of dotted strong echogenicity is seen within the myometrium. In the left adnexal region, a 4.2*3.8 cm hypoechoic, still regular in morphology, still clear in boundaries, with dense granules seen in the right ovary. Ultrasound suggests: myometriosis? The left adnexal area cystic mass, coeliac? 2011-12-27 examined without treatment, the doctor recommended laparoscopic surgery. Do I have to have surgery? When is the best time to operate. Please give some treatment advice, thank you. Hi: I don’t know if you have dysmenorrhea, do you have children? Ultrasound shows adenomyosis and coarctation of the left ovary. You should undergo laparoscopic ovarian coelecystectomy, otherwise the cyst will keep growing and the condition will get worse. The surgery can be done after menstruation. Patient: Thank you for your reply. The menstrual pain is sometimes severe and I have children. Is there any medicine to control the growth of the cyst I don’t want to operate, I thought I was willing to have a recurrence after surgery I’m afraid I’ll have to operate again. Please ask Dr. Zhao I wait a little longer nothing right will be cancerous Hello: drug treatment effect is poor, only temporary control, three months later once you stop the drug, but also growth. Long time, heavy disease. The chance of recurrence is greater. It will become malignant. Patient: Thank you When will it become malignant? How can I know if it is malignant Hello: when the malignant change, it is not yet possible to predict, can not wait until the malignant change to do surgery ah! It is recommended that you have an early surgical treatment.