What should I do if I have uterine fibroids? Do I need surgery?

Uterine fibroids are a very common uterine disease, and are a high-incidence disease among middle-aged women. The incidence of uterine fibroids is related to anger, stress, age, and endocrine disorders. When suffering from uterine fibroids, most people may think that surgery is needed to remove them. However, not all uterine fibroids require surgery. This needs to be determined based on the size of the fibroids.

What should I do if I have uterine fibroids? Whether treatment is needed can be considered comprehensively based on the following situations:

1. Fibroid size

If your uterine fibroid is only 1cm and it is a single tumor. In this case, there is no need for immediate surgical treatment because the fibroids are small and basically will not affect the body and pregnancy. Regular observation and follow-up are generally recommended.

2. Growth rate of fibroids

Under normal circumstances, the growth rate of fibroids is 1 cm per year. If your uterine fibroids grow faster than the average normal growth rate, then you need to be alert and seek treatment if necessary.

3. Do you have any fertility requirements?

For patients with uterine fibroids who wish to have children, it is important to consider whether uterine fibroids will have an adverse impact on pregnancy preparation. Generally speaking, fibroids located under the mucosa are more likely to affect pregnancy. Of course, this also depends on the specific size of the fibroids.

You can treat uterine fibroids first and then get pregnant and give birth to a healthy baby.

4. Whether it causes adverse effects on the body

Whether uterine fibroids cause adverse effects on your body is also an important criterion for judging whether fibroids need treatment. In addition to affecting fertility, uterine fibroids may also cause symptoms such as abnormal menstruation, frequent urination, constipation, abdominal distension and abdominal pain. Those with these symptoms also need timely treatment

5. Do you have any psychological burden?

Some sisters' fibroids may not be large and may not grow fast. However, due to the presence of uterine fibroids in the body, there is great psychological pressure and burden. In this case, the psychological burden can be eliminated by treating the fibroids in the body.

What should I do if I have uterine fibroids?

1. Regular observation: Those without obvious clinical symptoms can be observed regularly and do not need treatment. Most fibroids grow due to the stimulation of female hormones, so after menopause, fibroids will begin to shrink.

2. Drug treatment: Bleeding or menstrual pain caused by fibroids can be controlled by medication first, but not all fibroids require surgical removal. It is usually decided by the doctor based on the clinical symptoms.

3. Surgical treatment: For patients who do not want to get pregnant again, a total abdominal hysterectomy can be performed; for those who still plan to get pregnant, a myomectomy can be performed, which usually preserves the function of the uterus, and the myoma still has the possibility of regeneration after removal.