Introduction to the treatment of uterine tumors

Speaking of uterine fibroids, I believe that all female friends are familiar with it. This is a gynecological disease, and most of the time it occurs in the uterus. The following article will introduce the treatment methods for uterine fibroids. I hope it will be helpful to all female friends who are troubled by uterine fibroids.

1. Regular follow-up: For patients with small fibroids, no symptoms, no complications, no degeneration, and no impact on health; perimenopausal patients without clinical symptoms, only regular follow-up observation (once every 3 to 6 months) is required, and the treatment will be decided based on the review results.

2. Drug therapy: The basis of drug therapy in the treatment of uterine fibroids is that uterine fibroids are sex hormone-dependent tumors, so drugs that antagonize sex hormones are used for treatment. Other androgens, progestins and vitamins are also used. Experts remind: These two methods are mainly suitable for young people who want to retain their fertility; premenopausal women with small fibroids and mild symptoms; those with combined medical or surgical diseases who are unable to undergo surgery or are unwilling to undergo surgery, etc.

3. Surgical treatment: Surgical treatment of uterine fibroids includes hysterectomy and myomectomy.

(1) Hysterectomy: When expectant management and drug therapy fail to improve the patient's symptoms, patients who need surgery but are not eligible for myoma removal should undergo hysterectomy. Hysterectomy can be performed by total hysterectomy or suprapubic hysterectomy. Total hysterectomy is generally recommended, especially for those with cervical hypertrophy, laceration or severe erosion. However, if the patient's general condition is poor and technical conditions are limited, only subtotal hysterectomy can be performed. The incidence of stump cancer is only about 1-4%, but regular check-ups are still advisable after surgery.

(2) Myomectomy: This is to remove the fibroids on the uterus. The surgery to preserve the uterus is mainly used for those under 45 years old, especially those under 40 years old. This is not only for infertile women who have no children, but also for those who have children. Myomas with a larger diameter than 6 cm, menorrhagia that is ineffective with conservative medication, or compression symptoms, submucosal fibroids; those with faster-growing fibroids should also undergo enucleation for the sake of physical and mental health.

In daily life, everyone must pay attention to their physical health, make reasonable arrangements for themselves, and conduct regular physical examinations to prevent the disease from becoming serious or worsening. If you experience abdominal pain, vaginal bleeding, or irregular menstruation, you should seek medical attention immediately.