What are the symptoms of uterine fibroids? When is the best time to perform uterine fibroid surgery?

Multiple uterine fibroids, pregnancy longer than 3 months, obvious symptoms, and offspring; uterine fibroids pregnancy longer than 6 months, no symptoms, should undergo a total hysterectomy, and ovarian conservation depends on the patient's age and ovarian condition.

Uterine fibroids, 2×3cm in size. Is surgery necessary?

A: Treatment is determined based on the patient's age, the size and location of the fibroids, whether there is a desire to have children, whether there are complications, and the severity of uterine bleeding. The details are as follows:

Close observation

Uterine fibroids are asymptomatic and small in size. They can be reexamined every 3 to 6 months. If the age is over 40 years old, the amount of bleeding is not large, and there is no malignant lesion after the diagnosis of scraping, they can also be reexamined every 3 to 6 months, and given appropriate rest, supportive treatment, especially traditional Chinese medicine treatment. If there is no obvious change in the tumor, no bleeding or mild bleeding, it is expected that the fibroids will gradually shrink after menopause.

Myomectomy

Women under 35 years old, who have not given birth, have unobstructed fallopian tubes, are normal males, and have tumors that have not become malignant, should try to undergo myonucleiectomy to maintain fertility. The main risk of myomectomy is bleeding. In future pregnancies, we must be vigilant against uterine rupture and placenta implantation, so we must have an elective cesarean section.

Hysterectomy

Multiple uterine fibroids, pregnancy longer than 3 months, obvious symptoms, and offspring; uterine fibroids pregnancy longer than 6 months, no symptoms, should undergo a total hysterectomy, and ovarian conservation depends on the patient's age and ovarian condition.

If uterine fibroids are not embedded in the pelvic cavity and do not prevent the fetus from being delivered vaginally, vaginal delivery should be carried out in principle. After the puerperium, the fibroids should be checked and treated according to the situation. For multiple fibroids, if the patient does not want to keep the uterus and the surgical technique is competent enough, selective cesarean section hysterectomy can also be performed.

Radiation therapy

In the past, it was one of the methods for treating uterine fibroids, especially those who were at risk of surgery and had clinical symptoms. At present, it is only used in individual cases, and the vast majority of people think it is unnecessary, and radiotherapy can also lead to loss of ovarian function.