Can I still have children after uterine fibroid surgery? When can I have surgery for uterine fibroids?

Generally speaking, medicine is developing rapidly at present, and many diseases can be treated well. At present, the number of patients with uterine fibroids is increasing. At present, the treatment of uterine fibroids is divided into surgical treatment and non-surgical treatment. So what are the surgical methods for uterine fibroids? Surgical treatment of uterine fibroids includes myomectomy and hysterectomy, which can be performed through abdominal, vaginal or endoscopic surgery (hysteroscopy or laparoscopy). The choice of surgery and surgical method depends on factors such as the patient's age, fertility requirements, the size and growth site of the fibroids, and medical technology conditions.

(1) Myomectomy: The surgery to remove uterine fibroids and preserve the uterus is mainly used for young women under 40 who wish to retain their fertility. It is suitable for patients with large fibroids, heavy menstruation, compression symptoms, infertility caused by fibroids, submucosal fibroids, and rapidly growing fibroids without malignant transformation.

(2) Patients with obvious symptoms of hysterectomy, the possibility of malignant changes in fibroids, and no fertility requirements are suitable for hysterectomy. Hysterectomy can be performed by total hysterectomy or subtotal hysterectomy. Patients of older age are suitable for total hysterectomy. The possibility of cervical malignancy must be eliminated before surgery.

(3) Uterine artery embolization uses radiological intervention to directly insert an arterial catheter into the uterine artery, inject permanent embolic particles, and block the blood supply to the uterine fibroids, so as to shrink or even eliminate the fibroids. UAE is currently mainly suitable for uterine fibroids with symptoms such as anemia caused by abnormal uterine bleeding. When choosing interventional treatment for uterine fibroids, caution should be exercised, especially for patients with uncontrolled pelvic inflammation, those who wish to retain fertility, arteriosclerosis, and contraindications to angiography should be listed as contraindications to this treatment. 5% of patients may have premature ovarian failure and rare pelvic infections after surgery.

Patients should maintain smooth bowel movements after surgery and avoid heavy physical labor within six months, especially activities that increase abdominal pressure. Go to the hospital for a checkup 1 to 2 months after surgery to understand the wound healing situation. In addition, it should be noted that the abdominal wall incision should be kept dry after discharge, and a bath should be taken after one week, because the sutures have just been removed after discharge, the needle holes have not yet completely healed, and the incision scab has not yet fallen off, so it is not suitable to take a bath. This is also a preventive measure after uterine fibroid surgery.