How to treat submucosal uterine fibroids

Submucosal uterine fibroids are actually a type of symptom of uterine fibroids. For patients, if they want to effectively reduce the impact of these uterine fibroids or reproductive diseases, they need to adopt scientific and effective treatment plans.

1. Expectant treatment

Suitable population: patients aged 40-50 years and above, who have begun to experience menopause and have no obvious clinical symptoms such as excessive bleeding and pain.

Specific method: No drugs or other treatments are needed. Gynecological internal examination and B-ultrasound examination are performed every 3 months. If the tumor does not grow rapidly and the bleeding and pain symptoms do not worsen, we can expect the uterine fibroids to gradually shrink as age increases and sex hormone levels decrease.

2. Medication

Advantages: Current conservative treatment is mainly based on drug therapy, which can avoid the pain and sequelae caused by surgery. Generally, if drug treatment is not ideal, minimally invasive or surgical treatment will be considered.

Chinese medicine treatment: regulates the endocrine system and microcirculation of female patients, regulates blood and qi, disperses stasis and resolves stagnation, and eliminates uterine problems from the source

3. Hysterectomy

Applicable population: patients with large fibroids, severe symptoms, ineffective conservative treatment or malignant diseases.

Advantages: This surgery completely removes the uterus and eliminates its symptoms.

Disadvantages: The patient loses fertility and no longer has menstruation. 34% of women experience ovarian failure and menopausal symptoms within 2 years after surgery. Hysterectomy affects the integrity of the pelvic floor, shortens the vagina, and has a certain impact on sexual life. After hysterectomy, premature ovarian failure leads to decreased estrogen and increased cardiovascular morbidity. Patients are prone to adverse reactions such as obesity, hypertension, heart disease, and osteoporosis. Patients need 4-8 weeks to recover after surgery.

4. Laparoscopic myomectomy

Advantages: Small incision, less pelvic adhesion formation; fast postoperative recovery, most patients can walk and eat in the afternoon of the day of operation; less wound pain and postoperative fever, seldom need sedatives and analgesics; small and beautiful incision, in line with the aesthetic psychology of young people; shortened hospitalization time, generally patients can be discharged from the hospital 48 hours after surgery.

Disadvantages: It is ineffective for larger (over 5 cm) submucosal fibroids.