How to treat early stage uterine tumor?

How to treat early stage uterine tumor?

Uterine tumor is a disease with a very high incidence rate among many gynecological diseases. The causes of this disease are relatively complicated. The disease cannot be diagnosed without examination, and the early symptoms are not easy to find. Many women do not find physical abnormalities, so it is difficult to treat the disease in the early stage. Women must do routine physical examinations to find the location and size of the uterine tumor, and can use symptomatic prescriptions to treat it. So how to treat uterine tumors in the early stage?

(I) Indications for drug treatment

1. Young people who want to preserve their fertility. For women of childbearing age who suffer from infertility or miscarriage due to fibroids, drug treatment can shrink the fibroids and promote conception and fetal survival.

2. For premenopausal women, the fibroids are not very large and the symptoms are mild. After taking the medicine, the uterus will shrink and menopause will occur, and the fibroids will shrink accordingly, thus avoiding surgery.

3. Those who have surgical indications but currently have contraindications and need to be treated before surgery.

4. Patients with concurrent medical or surgical diseases who are unable to undergo surgery or are unwilling to undergo surgery.

5. Before choosing drug treatment, a diagnostic curettage and endometrial biopsy should be performed to rule out malignant changes, especially for those with menstrual disorders or increased menstrual flow. Curettage has both diagnostic and hemostatic functions.

The basis of drug treatment is that uterine fibroids are sex hormone-dependent tumors, so drugs that antagonize sex hormones are used for treatment. Newly used drugs are those that temporarily suppress the ovaries.

(II) Drug types and usage

1. LHRH agonist (LHRH-A): GnRHa is a new type of anti-gynecological disease drug in recent years. After continuous use of large amounts of LHRH, the pituitary cell receptors are filled with hormones and are unable to synthesize and release FSH and LH. In addition, LHRH has extrapituitary effects. Large doses of LHRH increase the number of LHRH receptors on the ovaries, reducing the ovaries' ability to produce estrogen and progesterone. Because the drug significantly inhibits FSH and reduces ovarian hormone secretion, its effect is similar to "medical oophorectomy", causing the fibroids to shrink. LHRH and LHRH-A are isoforms with the same function, but the latter is dozens of times more active than the former.

2. Danazol: has a weak androgenic effect. Danazol inhibits the function of the hypothalamus and pituitary gland, causing a decrease in FSH and LH levels, thereby inhibiting the production of ovarian steroids. It can also directly inhibit the enzymes that produce ovarian steroids. This causes the estrogen level in the body to drop, inhibiting uterine growth, causing endometrial atrophy and amenorrhea. At the same time, the fibroids also shrink and become smaller. However, for young women, menstruation can resume 6 weeks after stopping the medication. Therefore, repeated application is required.

How to treat uterine tumors in the early stages? Most patients will use medications in the early stages. There are many types of drugs to treat this disease, and the drugs taken are also prescribed by the doctor after examination. Patients must take the drugs according to the doctor's instructions and provide reasonable and effective care. Of course, Western medicine treatment is effective quickly, and Chinese medicine can also be used for conditioning, especially taking Chinese medicine, which can not only treat uterine tumors but also appropriately regulate physical health.

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