How to treat uterine fibroids? How to prevent uterine fibroids

Q: How are uterine fibroids treated?

Expert answer: Uterine fibroids are benign tumors formed by the proliferation of uterine smooth muscle tissue. Common manifestations include uterine bleeding, pain, abdominal mass, compression symptoms of adjacent organs, increased leucorrhea, anemia, heart dysfunction, etc. Some patients have no symptoms and often find uterine fibroids during gynecological examinations. Uterine fibroids are the most common benign gynecological tumors, and are more common in 30-50 years old. According to the different locations of uterine fibroids, they can be divided into intramural, subserosal, submucosal and intra-broad ligament fibroids.

treat:

If the fibroids are small, asymptomatic, without complications and degeneration, generally no treatment is needed. Especially for people approaching menopause, due to the low estrogen level after menopause, the fibroids will naturally shrink or disappear, and only regular (3-6 months) review is required. If the fibroids are found to be enlarged or the symptoms are obvious, further treatment should be considered.

Surgical treatment:

(i) Hysterectomy is suitable for hysterectomy of uterine size >3 months of pregnancy, although the fibroids are not large, but the symptoms are obvious, or the growth of fibroids cannot rule out malignancy;

(ii) Myoma removal: Suitable for patients under 35 years old, unmarried or childless;

Drug treatment: used for patients with small fibroids, unclear symptoms, near menopause or whose systemic conditions cannot tolerate surgery.

(a) Methyltestosterone, testosterone propionate.

(ii) Progesterone. ① Norethindrone, for patients who want to have children; ② Choose medroxyprogesterone, megestrol acetate, norethindrone, etc.; ③ Luteinizing hormone-releasing hormone analogs.

prevention:

Patients with uterine fibroids should have regular checkups, such as ultrasound or gynecological examinations every 3 to 6 months. If older women experience rapid growth of fibroids in a short period of time or vaginal bleeding after menopause, they should be alert to sarcoma degeneration. People with heavy menstruation should actively correct anemia and prevent anemic heart disease and myocardial degeneration.