Will uterine fibroid surgery affect fertility? Common treatments for uterine fibroids

Many patients with uterine fibroids may worry about whether their fertility will be affected after surgery. So, will uterine fibroid surgery affect fertility? What is the surgical method?

Here is a brief description of the two main types of surgery:

1. Hysterectomy: If there is an indication for surgery, there is no need to preserve fertility or there is suspected malignant change, and hysterectomy is feasible, then it can be performed. Since the cervix may become cancerous in the future after subtotal hysterectomy, and the treatment of residual cancer is very difficult, total hysterectomy is recommended for most patients.

2. Myomectomy: Myomectomy can be considered for patients ≤ 40 years old who wish to maintain their fertility or do not want to have their uterus removed. Before the operation, vaginal examination B should be performed to fully understand the size, location and number of fibroids, and the appropriate method (laparotomy, laparoscopy, hysteroscopy or negative) should be selected for myomectomy.

Uterine fibroids do not usually affect fertility after surgery. Most uterine fibroids are benign. However, because uterine fibroids tend to occur frequently, in women of childbearing age, fibroids may gradually increase in size as they age, and recurrence may occur after myomectomy.

The rate of malignant transformation (i.e. sarcoma transformation) of uterine fibroids is very low, about 0.4-0.8%. However, we still need to be alert to the risk of malignant transformation. If vaginal discharge or fluid discharge is abnormal, uterine fibroids increase significantly in a short period of time, or uterine fibroids continue to increase after menopause, we need to be alert to the possibility of malignant transformation.

Patients with uterine fibroids can also choose to use drug treatment. Surgical treatment of uterine fibroids is more suitable for uterine fibroids that grow larger and more numerous, or whose growth location affects health. The author recommends that general patients with uterine fibroids use drug treatment, which is safer, more convenient, and better.