What are the treatments for uterine fibroids? 1. Drug treatment: For pregnant patients with heavy menstrual bleeding and uterine enlargement of about 8 weeks, androgen treatment can be used after diagnostic curettage of endometrial cancer. Androgens counteract estrogen, promote endometrial atrophy, contract the myometrium and vascular smooth muscle, and reduce bleeding. Commonly used methyltestosterone and testosterone propionate, but the dosage and method should be under the guidance of a doctor to avoid improper medication, which may lead to endocrine disorders, virilization, etc. 2. Surgical treatment: If long-term conservative treatment is ineffective, or if symptoms are obvious, the fibroids are large, anemia and growing rapidly, treatment should be considered. (1) Myomectomy: Suitable for young patients who want to have children. The serosa, myometrium, and even submucosal myomas can be removed through the abdomen to preserve the uterus. Hysteroscopic minimally invasive myomectomy. (2) Hysterectomy: For older patients with uterine fibroids who have obvious symptoms and no desire to continue to have children, total hysterectomy, subtotal hysterectomy, or vaginal hysterectomy should be performed. Patients around 50 years old can retain one normal ovary to maintain its endocrine function. Is there any treatment for uterine fibroids? It is recommended that once female patients have uterine fibroids, they should go to a professional gynecological hospital for diagnosis and treatment in time, and choose the treatment that suits their uterine fibroids to avoid uterine fibroids endangering women's health. |
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