53-year-old patients with multiple fibroids can be observed if they are asymptomatic; gonadotropin-releasing hormone analogs can be used if symptoms are mild, and hysterectomy is feasible if symptoms are severe.
Uterine fibroid symptoms are related to fibroid location, size and other factors, and the number of fibroids has little relationship, which can be manifested as increased menstrual flow and prolonged menstrual period, lower abdominal masses, leukorrhea, and so on.
If the patient is asymptomatic, no treatment is needed, and the patient should be followed up every 3-6 months. After menopause, most of the fibroids will shrink and the symptoms will disappear.
If the symptoms are mild, the patient can be treated with gonadotropin-releasing hormone analogs such as propantheline and leuprolide, which are contraindicated in pregnant women and lactating women, with adverse effects such as hot flashes and vaginal dryness.
If anemia occurs due to excessive menstruation caused by fibroids, manifested by severe abdominal pain, pain during sexual intercourse, symptoms such as frequent urination, urinary urgency, diarrhea, etc. due to the excessive volume of fibroids compressing the bladder and rectum, and when sarcomatous changes are suspected, it is recommended that surgical treatment be chosen, and hysterectomy can also be chosen for 53-year-old patients.
53-year-old patients with fibroids are recommended to go to the hospital, a professional physician according to the patient’s specific situation to choose the appropriate treatment measures, the drugs used should be used under the guidance of a doctor, so as not to delay the condition.