What is the treatment for early stage uterine fibroids?

What is the treatment for early stage uterine fibroids?

Clinically, most diseases can be effectively cured if treated in the early stages, and uterine fibroids are no exception. For patients with uterine fibroids, how to accurately find a treatment method suitable for their disease in the early stages also requires them to have a prior understanding of the commonly used treatment methods for uterine fibroids in the early stages, so that they can make better decisions when making choices.

1. Follow-up observation

If the patient has no obvious symptoms and no signs of malignancy, regular follow-up observation can be performed.

2. Medication

(1) Gonadotropin-releasing hormone agonists (GnRH-a) Currently, the commonly used GnRH-a in clinical practice include leuprorelin (Enanton), goserelin (Zoleide), triptorelin (Dapiga), etc. GnRH-a should not be used continuously for a long time. It is only used for pretreatment before surgery, generally for 3 to 6 months, to avoid causing severe menopausal symptoms caused by low estrogen. A small dose of estrogen can also be supplemented at the same time to counteract this side effect.

(2) Mifepristone is a progesterone antagonist that has been clinically tried in recent years to treat uterine fibroids. It can reduce the size of fibroids, but the fibroids often grow again after discontinuation of the drug.

(3) Danazol is used for preoperative medication or treatment of uterine fibroids that are not suitable for surgery. Uterine fibroids may grow larger after medication is stopped. Danazol can cause liver damage and androgen-induced side effects (weight gain, acne, hoarse voice, etc.).

(4) Tamoxifen can inhibit the growth of fibroids. However, long-term use may cause enlargement of uterine fibroids in some patients, and may even induce endometriosis and endometrial cancer, so this should be paid attention to.

(5) Commonly used androgen drugs include methyltestosterone (methyltestosterone) and testosterone propionate (testosterone propionate), which can inhibit the growth of fibroids. The dosage should be used carefully to avoid virilization.

During the bleeding period of patients with uterine fibroids, if the amount of bleeding is heavy, uterine contractants (such as oxytocin, ergot) and hemostatic drugs (such as hemostatic acid, aminobenzoic acid (hemostatic aromatic acid), lizhihemostasis, Panax notoginseng tablets, etc.) can also be used, which can play a certain degree of auxiliary hemostatic effect.

In general, in the early stages of uterine fibroids, for patients whose condition is not particularly serious, the method of drug treatment and follow-up observation is more ideal. However, it should be noted that if patients with uterine fibroids find that their condition is not effectively controlled after using the above methods, they can use surgery and other methods for treatment.

<<:  What are the early symptoms of uterine fibroids?

>>:  How should uterine fibroids be treated?

Recommend

Which parts of a 30-year-old woman's body need the most care?

As the saying goes, "women are made of water...

What causes vomiting during menstruation?

The menstrual period is a time that female friend...

What are the benefits of eating kiwi fruit for pregnant women?

What are the benefits of eating kiwi fruit for th...

What are the dangers of female anal hemorrhoids?

There are many private parts in the female body, ...

Can postpartum women eat taro?

After a mother gives birth to a baby, her body is...

How to maintain a woman at the age of 38

Women enter the aging stage after the age of 25. ...

Menstrual discharge is like rotten meat pictures

Nowadays, the lifestyle of many girls is not very...

Why is knife fish so expensive? Is knife fish the same as hairtail fish?

As we all know, there are many kinds of fish. Dif...

OpenSignal: 2019 Global Mobile Video Experience Report

59% of mobile video experiences have been signifi...

What are the benefits of eating cashews? What is the market price of cashews?

Cashew is a fruit that looks like a waist. We usu...

B-ultrasound can show cervical insufficiency

Problems with cervical function can affect pregna...

What causes tailbone pain?

Women may suffer from pain in the lower back and ...

Is it harmful to stay up late during menstruation?

Staying up late has become something that many mo...