Post Date November, 17 2024
Uterine fibroids are a familiar gynecological disease that causes great distress for many women. After falling ill, we must treat them reasonably based on our own condition, and surgery is a commonly used treatment method.
Do uterine fibroids require a hysterectomy
Some women are caught off guard when they hear that they have uterine fibroids, believing that the uterus cannot be protected, especially for young women who are not pregnant. Hearing this disease is like a bolt from the blue, and the mental burden increases. In fact, hysterectomy depends on the location, size, degree of symptoms, age, and fertility requirements of the uterus.
For postmenopausal women, if asymptomatic, fibroids generally do not require treatment and are followed up every 3-6 months. For women with mild symptoms and fertility requirements, gonadotropin releasing hormone analogues are generally used to alleviate symptoms and inhibit the growth of fibroids, causing them to atrophy. However, it is best to stop taking the medication for a year before getting pregnant. Near menopausal women can also use medication to transition to natural menopause early and avoid surgery. For cases with severe symptoms, rapid tumor growth, or suspected malignancy, surgical treatment is generally adopted. In terms of surgical plan, for women who wish to preserve reproductive function, myomectomy is generally used. However, if there is a possibility of recurrence after surgery, if there is no fertility requirement or suspicion that the tumor has already undergone malignancy, hysterectomy is performed.
How large is a uterine fibroid that requires surgery
There are individual differences in the size of uterine fibroids that require surgery, but generally speaking, uterine fibroids exceeding 5cm indicate a serious condition that requires surgical removal. When uterine fibroids are below 5cm, medication can be used to control the growth of the fibroids. Asymptomatic uterine fibroids do not require treatment. A single fibroid can be removed surgically. If there are multiple fibroids in the uterus and the patient does not have fertility requirements, it is recommended to remove the uterus to prevent the fibroids from growing again. The treatment method for uterine fibroids needs to be determined based on individual age, clinical manifestations, and endocrine factors. It is recommended to go to a professional hospital for examination and clarify the treatment plan under the guidance of a doctor.
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.
