Patient: Description of condition (onset, main symptoms, hospital visited, etc.): I found fibroids during pregnancy in 2002 and had a laparoscopy to remove them after giving birth in 2004. I have a large fibroid, the largest is 8 x 6 cm, and the uterus itself is large, like a small ball of skin in my stomach, and I have recently become anemic. Can I see you for treatment? Zhang Airong, Department of Gynecology, Qilu Hospital, Shandong University
Zhang Airong, Department of Gynecology, Qilu Hospital, Shandong University: Hello: According to your situation, myoma excision can still be considered, but it is easy to recur after surgery, so it is recommended to apply medication after surgery to delay recurrence.
Patient: Thank you very much for your reply. I had this operation before, and it recurred soon after the operation. There was a lot of bleeding during the operation, and many doctors said that I can’t do excision again because the abdominal cavity is already very adherent and it will be risky. I don’t know what your opinion is.
Zhang Airong, Department of Gynecology, Qilu Hospital, Shandong University: Hello, according to your case, you can choose open myomectomy.
Patient: I think what you said makes sense, I would like to ask, is it necessary to take medicine before surgery to reduce the size of the fibroids, and then do surgery to reduce the risk? Also what is the best medicine to take after surgery?
Zhang Airong, Department of Gynecology, Qilu Hospital, Shandong University.
It is not necessary to take medicine to reduce the size of myoma before surgery. After surgery, you can take mifepristone or subcutaneous injection of GnRH-a type of drugs.
Patient: Thank you very much for your reply. I had this operation before, and it recurred soon after the operation, and there was a lot of bleeding during the operation. I don’t know what your opinion is.