Seeking Effective Solutions for Chronic Health Issues in Women - Obstetrics and Gynecology

I hope you can read this letter?

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Dear Doctor,
I apologize for disturbing your valuable time, and I sincerely hope you can read this letter and provide us with some advice.
As the saying goes, "An elder in the family is like a treasure." Therefore, we are deeply concerned about my mother-in-law's ongoing health issues and feel uncertain about what to do.
My mother-in-law is 54 years old.
She had two abortions at the age of 29 and subsequently gave birth to five children.
One year, she experienced pain in her lower abdomen and noticed blood clots in her menstrual flow.
After consulting a doctor, she was diagnosed with chronic pelvic inflammatory disease, which was deemed incurable, and she was prescribed painkillers.
This condition worsened by the time she turned 34, with her menstrual cycle occurring every 11-12 days and accompanied by heavy bleeding with clots.
An ultrasound at another clinic revealed a 5 cm benign fibroid in her uterus.
During this period, she suffered from severe anemia and fatigue, leading her to undergo surgery at Linkou Chang Gung Memorial Hospital to remove her uterus and one necrotic ovary.
Since then, her once cheerful personality seemed to change drastically; she felt a heavy weight on her chest, experienced palpitations, insomnia, and persistent body aches.
Despite numerous examinations, no clear diagnosis was found.
After enduring these issues for over a decade, at the age of 49, she began hormone therapy, which alleviated all her symptoms.
She continued this treatment for over four years until she read media reports indicating a high risk of breast cancer after five years of use, prompting her to stop the hormones.
It has been nearly a year since she discontinued hormone therapy, and she has recently felt unwell again.
Initially, she experienced dryness in the urethra and painful urination, followed by anal fissures.
She also suffers from dry eye syndrome, migraines, and itchy rashes on her hands when exposed to cold water.
Additionally, she has been experiencing intermittent nosebleeds from her left nostril to her throat, with varying amounts of bleeding.
This bleeding had previously stopped after 2-3 days, but this time it has persisted for almost a month.
Various examinations at Changhua Christian Hospital, Show Chwan Memorial Hospital, and China Medical University’s ENT and pulmonary departments have yielded no findings.
Last night, she suddenly experienced pain in her groin lymph nodes, and the feelings of palpitations, insomnia, and anxiety returned.
Over a decade ago, she had a 2 cm benign tumor removed from the right side of her neck, and now she has developed several benign tumors of varying sizes (1 cm, 2 cm, and 3 cm) on the front of her neck.
The doctor mentioned that she had already undergone surgery on one side of her thyroid and that further surgery would be risky.
About ten years ago, after a minor car accident, she began experiencing lower back pain, which worsened due to lifting heavy objects at work, leading to spinal issues.
Despite seeing various traditional and Western medicine practitioners, she found no relief.
After two years of rehabilitation, the pain intensified, and over a year ago, she underwent a high-frequency thermal coagulation therapy that severed a nerve.
Now, even slight bending, lifting, or doing light household chores causes her significant discomfort.
We wonder if severing another nerve on the left side could lead to healing or if she would only be able to continue rehabilitation.
Is there a risk in undergoing this procedure again?
Throughout this time, my mother-in-law has consulted countless doctors, hospitals, clinics, and even alternative practitioners, but none have provided substantial relief.
Many doctors have hastily concluded that her issues are primarily psychological without fully listening to her concerns.
As her children, we understand that she tends to worry about her health and her family, but the existence of her ailments is a tangible reality.

1.
We have witnessed her vomiting and expelling fresh blood; how can we not be concerned? Is it truly impossible to determine the cause of her symptoms?
2.
Are her various physical issues, such as palpitations, insomnia, urethral dryness, anal fissures, dry eye syndrome, migraines, and itchy rashes from cold water, possibly due to a lack of hormones?
3.
My mother-in-law has benign tumors in her neck and chest, and the number of new growths has increased, causing her great anxiety about the possibility of malignancy.
The doctors have advised that surgery poses risks and that regular monitoring is sufficient.
However, after her latest check-up revealed more growths, she feels even more uncertain about what to do.

Consequently, she is hesitant to resume hormone therapy but is also unaware of any alternative medications that could replace hormones without side effects.
Family reassurances are not as effective as a medication that could alleviate her physical and psychological suffering, along with a positive word from a doctor.
Therefore, I am sending this letter in hopes of receiving an effective treatment plan or medication that could relieve my mother-in-law's long-term suffering.
Thank you very much in advance!

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cherry, 20~29 year old female. Ask Date: 2003/03/22