Post Date November, 17 2024
Uterine fibroids are well-known gynecological diseases, and their occurrence is relatively common. They belong to benign gynecological tumors, but they need to be taken seriously and treated immediately after detection.
Is it okay for uterine fibroids not to be treated
1. Due to the fact that the age range at which uterine fibroids occur is not fixed, young women may have them, while older women may still have them. However, for older women, as they no longer have children, it is important to receive regular follow-up and observe the progression of the disease. However, for young women, uterine fibroids can affect fertility, so timely treatment is essential.
2. In any case, uterine leiomyoma is a serious disease for young women. If it can be treated as soon as possible, it must be operated as soon as possible. With the growth of myoma, the complexity of surgery becomes higher and the recovery time becomes longer. It is best to treat it as soon as possible.
Treatment of uterine fibroids
1. Medication treatment: Mainly short-term treatment, mainly suitable for patients with uterine fibroids who have surgical indications. Preoperative medication is used to correct anemia, reduce uterine volume, avoid intraoperative bleeding, and reduce surgical difficulties for women in the near amenorrhea period. Uterus is less than 10 weeks pregnant, and other complications with mild symptoms have surgical contraindications. Medication has side effects and should not be used for a long time.
2. Surgical treatment: Surgery is still the most commonly used treatment method for uterine fibroids. Mainly divided into hysterectomy and myomectomy.
(1) Hysterectomy: If there are indications for surgery and there is no requirement to preserve fertility or suspicion of malignancy, hysterectomy is feasible. Due to the possibility of future cervical cancer after subtotal hysterectomy and the difficulty in managing residual cancer, it is currently recommended for most patients to undergo total hysterectomy. Cervical scraping cytology examination should be performed before surgery to exclude cervical malignant lesions. Non menopausal women can retain both appendages, and after menopause, simultaneous removal of both appendages can be considered.
(2) Myomectomy: For patients under 40 years old who wish to preserve their reproductive function, or those who do not wish to have their uterus removed despite having no reproductive requirements, myomectomy can be considered. Before surgery, it is necessary to fully understand the size, location, and quantity of fibroids such as vaginal examination and ultrasound examination, and choose appropriate methods (such as laparotomy, laparoscopy, hysteroscopy, or vaginal examination). Laparoscopic surgery is a popular minimally invasive surgery method with minimal trauma and fast patient recovery. However, laparoscopy requires a high level of technical expertise from doctors, and due to its lack of tactile sensation, it is generally only suitable for removing single or fewer fibroids located under the serosa or between muscle walls. At present, there is no consensus on this matter. It is generally recommended that a single fibroid should not be too large (no more than 10-375px), and the number of fibroids should not be too large (no more than 3-4 fibroid nodules with a diameter less than 5-150px). Hysteroscopic surgery is suitable for submucosal fibroids, but for type 2 submucosal fibroids with only a small portion protruding into the uterine cavity, it may not be possible to remove them all at once.
