Is a 3 cm uterine fibroid serious?

Uterine fibroids are a type of tumor in the female reproductive organs. This tumor is benign, but if not treated in time, it may cause urinary obstruction and even lead to female infertility and miscarriage. Uterine fibroids have become a major killer of women. Is a 3 cm uterine fibroid serious? Let's have a simple understanding of this issue. I hope the following points will be helpful to everyone!

Is a 3 cm uterine fibroid serious?

A three-centimeter uterine fibroid is not very serious, but if it is not treated and controlled, it will continue to expand and cause a series of harms, such as infertility, miscarriage, and even lesions. Generally speaking, uterine fibroids that exceed 2.0 cm are serious and require immediate treatment.

The formation of uterine fibroids is related to growth hormone metabolism disorders. If the tumor is less than 5CM, medication can be used to control the growth of the uterine fibroids. If it exceeds 5CM, the doctor will recommend surgical treatment. Generally, single uterine fibroids can be removed through surgery. If it is multiple uterine fibroids and the patient has not entered menopause, the doctor will recommend hysterectomy to prevent the uterine fibroids from growing again.

Uterine fibroids are the most common malignant tumors in the female reproductive organs and one of the most common tumors in the body. They are also called chemical fibroid uterine fibroids and uterine fibroids. Because uterine fibroids are mainly formed by the proliferation of uterine smooth muscle cells, in which a small amount of fibrous connective tissue exists as a supporting tissue, it is more accurate to call it uterine leiomyoma. Commonly known as uterine fibroids.

If uterine fibroids are not treated in time, they will always cause infertility as the size of the uterine fibroids increases. The reason why uterine fibroids cause infertility is often because the uterine fibroids happen to block the cervical opening or the internal openings of both fallopian tubes and affect the movement of male sperm, or the uterine fibroids occupy the position for embryo implantation and cannot form a pregnancy. Even if pregnancy occurs, miscarriage is often caused due to the impact on the development of the embryo. In the late stages of pregnancy, abnormal uterine contractions may cause premature birth, prevent delivery, or cause postpartum hemorrhage.

Treatment of uterine fibroids

1. Follow-up observation

If the patient has no significant symptoms and no signs of deterioration, regular follow-up observation can be performed.

2. Medication

(1) Gonadotropin-releasing hormone inhibitors (GnRH-a) Currently, the most commonly used GnRH-a in clinical medicine include leuprorelin (Enanton), goserelin (Zoleide), triptorelin (Dapiga), etc. GnRH-a is not suitable for long-term continuous use. It is only used for preparatory treatment before surgery, generally for 3 to 6 months, to avoid causing severe menopausal symptoms caused by low estrogen. It can also be supplemented with doses of estrogen to counteract such side effects. (2) Mifepristone is an estrogen antagonist that has been used in clinical medicine in recent years to treat uterine fibroids. It can reduce the size of uterine fibroids, but after stopping the drug, uterine fibroids often grow again. (3) Danazol is used as a preoperative medication or to treat uterine fibroids that are not suitable for surgical treatment. Uterine fibroids may grow larger after stopping medication. Taking danazol can cause damage to liver function tests, in addition to androgenic side effects (weight gain, acne, hoarseness, etc.). (4) Tamoxifen can inhibit the growth and development of uterine fibroids. However, long-term use may cause the uterine fibroids of some patients to expand, and even cause endometriosis and endometrial cancer, so attention should be paid.

(5) Common androgen drugs include methyltestosterone (methyltestosterone) and testosterone propionate (testosterone propionate), which can inhibit the growth and development of uterine fibroids. Be careful about the dosage to avoid causing male characteristics.

During the bleeding period of uterine fibroids patients, if the bleeding is heavy, uterotonic agents (such as oxytocin, ergot) and hemostatic drugs (such as blood-activating acid, aminobenzoic acid (hemostatic aromatic acid), lizhihemostatic, Panax notoginseng tablets, etc.) can also be used, which can have a certain degree of auxiliary blood circulation effect.

3. Surgery

Surgical treatments for uterine fibroids include myomectomy and hysterectomy, which can be performed transabdominally or vaginally, or endoscopically (hysteroscopy or laparoscopy). The choice of surgery and surgical treatment method depends on factors such as the patient's age, pregnancy requirements, uterine fibroid size and location, and medical technology standards.