How to choose the treatment method for uterine fibroids? Can uterine fibroids be treated with interventional therapy?

The treatment of uterine fibroids should be carefully selected. The treatment of uterine fibroids should be considered comprehensively based on the patient's age, fertility requirements, symptoms, location and size of the fibroids. The following are common treatments for uterine fibroids. We choose the most appropriate one based on our actual situation.

Uterine fibroids treatment:

1. Follow-up observation

Patients with asymptomatic fibroids, especially those near menopause, can undergo follow-up examinations every 3 to 6 months.

2. Surgical treatment

Surgical treatment is suitable for uterine fibroids greater than 10 weeks of pregnancy; menorrhagia, secondary anemia, ineffective drug treatment; bladder and rectal compression symptoms; cervical fibroids; rapid growth of fibroids, suspected malignant changes. Treatment can be performed by abdominal, vaginal or hysteroscopic and laparoscopic surgery, including myomectomy and hysterectomy.

3. Drug treatment

It is mainly suitable for patients with fibroid pregnancy whose uterus is smaller than 2 months, whose symptoms are mild, whose menopause is near, and whose general condition is not suitable for surgery. The main treatment drugs include gonadotropin-releasing hormone analogs, mifepristone, etc.

4. Interventional treatment

It is mainly suitable for patients with symptomatic uterine fibroids who do not need to preserve fertility but want to avoid surgery or have higher surgical risks. The indications should be strictly followed.

In addition to the above situations, there are many treatments for uterine fibroids, and it should be noted that: if there are no symptoms during pregnancy, regular prenatal examinations and close observation should be performed, and generally no special treatment is required; patients with natural delivery should pay attention to preventing postpartum hemorrhage; if the fibroids hinder the descent of the fetus, a cesarean section is required, and the fibroids should be removed at the same time depending on the size, location and condition of the patient.