What is the best way to treat uterine fibroids? Is ultrasound treatment really effective for uterine fibroids?

Uterine fibroids are a common benign gynecological tumor, usually manifested by irregular menstruation, leucorrhea, lower abdominal pressure, etc. The best treatment for the disease should depend on the patient's condition. Mild patients can use expectant treatment, while severe patients require drug treatment, surgical treatment or ultrasound treatment.

Expectant treatment is a clinically referred to follow-up observation, which does not require any medication or other treatment methods. Gynecological internal examination is performed every 3 months, and B-ultrasound examination is performed. It is mainly suitable for patients over 40 to 50 years old, who are beginning to experience menopause and mild clinical symptoms. In addition, this expectant treatment can also be selected for young patients who are unmarried or childless, have small fibroids, and have no clinical symptoms.

Drug treatment is relatively conservative and is mainly suitable for women with fertility needs and mild fibroid symptoms. If the patient is objectively unsuitable for or very reluctant to undergo surgery, drug treatment can also be performed. It is best to perform an endometrial curettage before treatment, which can not only stop bleeding but also help obtain first-hand data on the disease.

Drug treatment can usually only inhibit the growth rate of fibroids and relieve symptoms, but cannot fundamentally solve the problem. Therefore, if drug treatment is not ideal, surgical treatment can be considered. There are two methods of surgical treatment, hysterectomy and myomectomy. For patients with large fibroids, severe symptoms, ineffective conservative treatment or malignant diseases, hysterectomy is best. For women under 45 years old, myomectomy is best to preserve the uterus. Because premature hysterectomy can easily cause women to age prematurely.

Ultrasound therapy uses the permeability of ultrasound to concentrate energy to a sufficient intensity, achieve instantaneous high temperature, destroy the target tissue, and manifest as coagulative necrosis in histopathology, thereby achieving the purpose of destroying the lesion. It is suitable for uterine fibroids with a clear diagnosis, excluding uterine sarcoma, other uterine lesions and non-benign cervical lesions. The treatment methods for uterine fibroids include expected treatment, drug therapy, surgical treatment and ultrasound therapy. The best treatment method is determined by the patient's own situation. Patients should go to regular hospitals for treatment, do not listen to various exaggerated advertisements, and use improper treatment methods to avoid delaying the disease or causing excessive treatment.