What should I do with uterine fibroids?

Uterine fibroids are also a common gynecological disease among women. Relatively speaking, its incidence rate is still relatively high. If there are problems with the uterus, you need to go to the hospital to check the nature of the fibroids, and then take targeted treatment methods. If it can be surgically removed, early treatment is still recommended. There will be recurrences. What should be done specifically? The editor can introduce effective treatment measures.

Surgical method may affect recurrence rate

Wan Lan said that radical myomectomy is the removal of the uterus. However, some patients want to keep their uterus due to fertility needs or personal wishes. At this time, uterine fibroid removal surgery can be chosen, but there is a possibility of recurrence of uterine fibroids. "There are two types of uterine fibroid removal surgery: traditional laparotomy and minimally invasive surgery under laparoscopy. Relatively speaking, for multiple fibroids, minimally invasive surgery has a higher chance of recurrence," Wan Lan said. "Laparotomy is very traumatic, but doctors can touch very small fibroids buried deep in the uterine wall that cannot be seen by the naked eye or ultrasound. Minimally invasive surgery is less traumatic, but doctors cannot touch the uterus, so some tiny fibroids located in the uterine muscular layer slip through the net."

"Of course, there is no need for patients to have their uterus removed to prevent recurrence." Wan Lan said that whether to remove the uterus must be considered comprehensively based on the number and size of fibroids, whether it affects menstruation, the patient's age, fertility needs, and personal wishes. For example, if you have a single fibroid, a small fibroid, or want to have children, there is certainly no need to remove the uterus.

Wan Lan said that some patients can take medication to control or delay the timing and severity of recurrence of uterine fibroids. Patients can take mifepristone orally to inhibit the growth and proliferation of endometrial stromal cells, but this type of drug has side effects and is generally taken for 3 to 6 months and cannot be taken for a long time.

No matter what kind of disease it is, it is necessary to analyze the disease, the cause, the onset time and the severity of the disease, so as to effectively eliminate the root cause and prevent the recurrence of the disease. Diseases related to uterine fibroids require early treatment. If the condition is delayed for a long time, it will cause problems in uterine development. A good rhythm of life should be established.