Is it necessary to remove the uterus for multiple uterine fibroids?

Uterine fibroids are a common disease among gynecological diseases. Uterine fibroids also have different types. The most common ones are multiple uterine fibroids. Multiple uterine fibroids can lead to increased menstruation, and the duration of menstruation will be longer. There will also be masses in the abdomen, leading to symptoms such as frequent urination and urgency. Multiple uterine fibroids should be treated in time. So, is it necessary to remove the uterus for multiple uterine fibroids?

Is it necessary to remove the uterus for multiple uterine fibroids?

Multiple uterine fibroids refer to the growth of multiple fibroids on the same uterus, including intramural fibroids, submucosal fibroids, and some subserosal fibroids.

The specific treatment method is mainly determined based on the patient's age, whether or not they have fertility requirements, and the amount of menstrual flow, so that a treatment plan can be formulated.

It does not mean that surgery is necessary if multiple fibroids are found.

If a woman is of childbearing age and has a strong desire to have children, she can undergo uterine fibroid removal surgery.

If a woman is in menopause or before and has no fertility requirements, she can consider a subtotal or total hysterectomy.

Patients who do not want surgery can also undergo conservative treatment and use androgens to counteract the effects, thereby achieving the goal of treatment.

After menopause, most uterine fibroids will gradually shrink.

What are the symptoms of multiple uterine fibroids?

Uterine bleeding is the most obvious symptom of multiple uterine fibroids, which is manifested by heavy menstrual flow, long menstrual period or short menstrual cycle, abdominal mass and compression symptoms, frequent urination and urgency. A small number of patients will feel a feeling of heaviness in the lower abdomen or pain in the waist and back. They may also experience symptoms such as acute abdominal pain, dysmenorrhea, increased vaginal discharge, and enlarged uterine cavity. If ulcers, infection and necrosis occur, it will cause bloody or purulent leucorrhea symptoms.