What drugs can treat uterine fibroids?

What drugs can treat fibroids?

The treatment of uterine fibroids depends on the patient's age, the presence or absence of symptoms, the location, size, growth rate, number of the fibroids, the deformation of the uterus, whether reproductive function is retained, and the patient's wishes.

1. Expectant treatment: The fibroids are small, asymptomatic, without complications or degeneration, and have no impact on health. For perimenopausal patients, there are no clinical symptoms. Considering that ovarian dysfunction may cause the fibroids to shrink or shrink. Expectant treatment can be adopted for the above cases, that is, regular clinical and imaging follow-up observations are carried out every 3 to 6 months. The treatment is decided based on the review results.

Usually, fibroids shrink naturally after menopause, so no surgery is needed. However, patients with fibroids who are over 40 years old may still be several years away from menopause, so surgery can also be considered. But conservative medication can be used before surgery, and those who are effective can temporarily avoid surgery. It should also be noted that in a small number of postmenopausal women with fibroids, the fibroids do not shrink but grow larger, so follow-up should be strengthened.

2. Drug therapy There are many new developments in drug therapy.

1. Young people who want to preserve their fertility. Those who are infertile or have miscarriage due to fibroids at childbearing age. After drug treatment, the fibroids shrink and promote conception and fetal survival.

2. For premenopausal women, the fibroids are not very large and the symptoms are mild. After taking the medicine, the uterus will shrink and menopause will occur, and the fibroids will shrink accordingly, thus avoiding surgery.

3. Patients who have surgical indications but currently have contraindications and need to be treated before surgery.

4. Patients with concurrent medical or surgical diseases who are unable to undergo surgery or are unwilling to undergo surgery.

5. Before choosing drug treatment, it is advisable to perform diagnostic curettage and endometrial biopsy to exclude malignant changes, especially for those with menstrual disorders or increased menstrual flow. Curettage has both diagnostic and hemostatic effects.