What are the treatments for uterine fibroids?

The treatment of uterine fibroids should be based on the patient's age, fertility requirements, symptoms, location and size of the fibroids, etc. The Western medicine treatment methods mainly include:

1. Follow-up observation

For patients with asymptomatic fibroids, especially women near menopause, follow-up examinations can be performed every 3 to 6 months.

2. Surgical treatment

Surgical treatment is suitable for: patients with fibroids larger than the uterus at 10 weeks of pregnancy; patients with menorrhagia, secondary anemia, and ineffective drug treatment; patients with bladder and rectal compression symptoms; patients with cervical fibroids; patients with rapidly growing fibroids and suspected malignant transformation. 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 whose fibroids are smaller than the size of a 2-month pregnant uterus, whose symptoms are mild, who are near menopause, and whose general condition is not suitable for surgery. The main treatment drugs include: gonadotropin-releasing hormone analogues, 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 high surgical risks. The indications for this type of treatment should be strictly followed.

In addition to the above situations, patients with uterine fibroids and pregnancy should pay attention to the following: those who are asymptomatic during pregnancy should undergo regular prenatal examinations and close observation, and generally do not require special treatment; patients who give birth naturally should pay attention to preventing postpartum hemorrhage; if the fibroids hinder the descent of the fetus, a cesarean section is required. Whether the fibroids are removed during the operation should be determined based on the size and location of the fibroids and the patient's condition.