How should uterine fibroids be treated?

For female friends, common gynecological diseases such as uterine fibroids can easily lead to infertility. Therefore, after suffering from uterine fibroids, female friends need to pay great attention to the choice of treatment methods for uterine fibroids. In order to get rid of the troubles of uterine fibroids as soon as possible, and at the same time avoid a series of hazards caused by the presence of uterine fibroids, the following article will introduce the treatment methods of uterine fibroids.

1. Surgery

Surgical treatment of uterine fibroids includes myomectomy and hysterectomy, which can be performed abdominally or vaginally, or endoscopically (hysteroscopy or laparoscopy). The choice of surgical procedure and approach depends on factors such as the patient's age, whether or not they have fertility requirements, the size and location of the fibroids, and medical technology conditions.

(1) Myomectomy is a surgery to remove uterine fibroids while preserving the uterus. It is mainly used for young women under 40 years old who wish to retain their fertility. It is suitable for patients with larger fibroids, heavy menstruation, compression symptoms, infertility due to fibroids, submucosal fibroids, and fast-growing fibroids without malignant transformation.

(2) Hysterectomy is recommended for patients with obvious symptoms, those with malignant fibroids, and those who have no fertility requirements. Hysterectomy can be performed with total hysterectomy or subtotal hysterectomy. For older women, total hysterectomy is more appropriate. The possibility of cervical malignancy must be excluded before surgery.

(3) Uterine artery embolization is a radiological intervention method in which an arterial catheter is directly inserted into the uterine artery and permanent embolic particles are injected to block the blood supply to the uterine fibroids, thereby causing the fibroids to shrink or even disappear. UAE is currently mainly suitable for uterine fibroids with symptoms such as abnormal uterine bleeding leading to anemia. Caution should be exercised when choosing interventional treatment for uterine fibroids, especially for those with uncontrolled pelvic inflammation, those who wish to retain their fertility, those with arteriosclerosis, and those who have contraindications to angiography, which should be listed as contraindications to this treatment. 5% of patients may experience premature ovarian failure after surgery, and there are also rare reports of pelvic infections.

2. Focused Ultrasound Therapy

By focusing ultrasound waves and raising the temperature locally inside the tumor to over 65°C, the tumor undergoes coagulative necrosis, which in turn has a therapeutic effect. The treatment can cause the fibroids to shrink and relieve symptoms. Indicated for symptomatic uterine fibroids. The advantages are that there are no surgical scars after treatment and recovery is fast. Adverse reactions have been reported including skin burns, adjacent intestinal damage, and hematuria.

In fact, in the treatment of diseases such as uterine fibroids, surgical treatment and focused ultrasound treatment are two extremely effective methods. After female friends suffer from uterine fibroids, they also need to seek medical treatment when choosing a method to treat their own disease. The doctor's comprehensive analysis of their own condition and physical conditions can determine the final treatment method to be chosen.