Uterine fibroids are a very common disease among gynecological diseases. According to statistics, 3 out of every 10 women suffer from uterine fibroids, and their incidence is third among gynecological diseases. , and most women with uterine fibroids have no discomfort symptoms. Many people have discovered it through ultrasound examinations. Some patients even find it relatively large as soon as they are found, and have reached the surgical indication . Therefore, many patients are more concerned about whether their uterine fibroids need surgery. Today I will explain it in detail to you.
Although uterine fibroids sound scary and indeed belong to tumors, we should be grateful that it is a benign tumor of the reproductive tract and is a benign tumor of the uterine smooth muscle cells caused by excessive proliferation of uterine smooth muscle cells. So don’t worry too much. The probability of it deterioration is very, very low. Moreover, there are usually particularly serious symptoms before deterioration, such as large vaginal bleeding, abdominal distension and pain, vaginal purulent secretions, etc. If these symptoms occur, you must be removed in time.
Uterine fibroids are estrogen-dependent tumors. When women grow smaller and have no discomfort in uterine fibroids, they can be temporarily observed.
If the uterine fibroids exceed 5cm, will surgery be needed?
You need to check whether these conditions are present first. It is recommended to use surgical treatment for these conditions:
1. Discomfort symptoms are more obvious. For example, increasing menstrual flow causes anemia and severe , compression causes frequent urination, difficulty in defecation, ureteral hydronephrosis, hydronephrosis and other symptoms.
2. Uterine fibroids grow rapidly, especially after menopause and , which may be malignant.
3. Uterine fibroids in special areas, such as submucosal fibroids, cervical fibroids, broad ligament fibroids, etc. Patients with
4, infertility or habitual miscarriage of were associated with uterine fibroids, and other infertility factors were excluded.
5. The fibroids are too large, more than 8cm, and the effect of other treatment methods is not obvious.
If there are no symptoms above, you can consider taking Chinese medicine for 3-6 months first. Doing b ultra- to observe how much uterine fibroids shrink, especially for women in perimenopause. The uterine fibroids will shrink to a certain extent because the estrogen level on which the growth of uterine fibroids decreases, and the effect will be even more obvious. I have taken many such patients in clinical practice and will reduce by two or three centimeters in two or three months.
Traditional Chinese medicine believes that uterine fibroids are accumulation of symptoms and have many types of dialectics. They are mostly caused by blood stasis and are divided into many situations, such as qi stagnation and blood stasis, Qi deficiency and blood stasis , cold and dampness coagulation, etc. In the treatment, we should pay attention to removing blood stasis and eliminating symptoms, and then flexibly use methods such as relieving liver and regulating qi, replenishing qi and promoting blood, nourishing yin and clearing heat to treat. It is the most basic to control the growth of fibroids, and as the patient takes medicine, the fibroids will slowly shrink. In addition, I would like to remind everyone that not meeting the surgical indication does not mean that you can ignore treatment, because it is best to intervene as soon as possible to prevent the fibroid from growing. Once the uterine fibroids grow, even the surgery will cause great trauma to the body, which will bring more serious losses both financially and physically.
