Does uterine fibroid surgery require hysterectomy?

The incidence of uterine fibroids is more common in women over 40 years old. Some small uterine fibroids do not need to be removed and have no major impact on the body. Generally, uterine fibroids can be detected by B-ultrasound examination, and the treatment method is also through surgical removal. Some patients with uterine fibroids need to have their uterus removed during surgery because the area of ​​the fibroids is very large. Do you need to have your uterus removed during surgery for uterine fibroids?

Uterine fibroids are the most common benign tumor in the female pelvis. Fibroids that are small, asymptomatic, without complications or degeneration generally do not require treatment. As for whether it is possible to avoid uterine removal, generally speaking, uterine preservation is suitable for women under 45 years old, especially under 40 years old. If the tumor is smaller than 5 cm, drug treatment can be used to control the growth of the tumor.

Is it necessary to remove the uterus?

As for whether it is possible to avoid uterine removal, generally speaking, uterine preservation is suitable for women under 45 years old, especially under 40 years old. If the tumor is smaller than 5 cm, drug treatment can be used to control the growth of the tumor. But if it is more than 5 cm, the doctor will recommend surgical treatment. Considering that you have multiple fibroids and are in perimenopause, it is recommended that you have a hysterectomy to prevent the fibroids from continuing to grow and become malignant. But there is no need to worry too much. The surgery only removes the uterus and does not remove the ovaries. Therefore, apart from the absence of menstruation, there are no other changes in the body. The uterus is the organ that nurtures the fetus and produces menstruation, while the ovaries are important organs that produce eggs and secrete hormones. After a hysterectomy, hormone secretion in the body still exists and female characteristics will still be maintained.

Why can ovarian dysfunction occur even if only the uterus is removed?

Some patients with uterine fibroids retain both ovaries during hysterectomy. However, since nearly half of the blood supply to the ovaries comes from the uterine arteries, the uterine arteries are cut off during hysterectomy, and the blood supply and nutrition to the ovaries is affected, which can also cause ovarian dysfunction. There may be early onset of menopausal symptoms such as hot flashes, sweating, and irritability, and the age of onset of geriatric diseases such as osteoporosis, hypertension, and heart disease is also advanced accordingly. According to statistics, the age of ovarian failure after hysterectomy, that is, the age of aging, is an average of 4 years earlier than that of women who do not undergo hysterectomy. Due to the decline in ovarian endocrine function, the decrease in estrogen secretion, and the decrease in vaginal secretions after cervical removal, vaginal dryness and discomfort during sexual intercourse may occur. At the same time, the vagina shortens after hysterectomy, which will also have a certain impact on sexual desire. Therefore, these patients also require estrogen replacement therapy.