The first time I saw a woman with fibroids, I was able to see her. In the “Dr. Qiao” health question and answer, there are often readers who ask whether uterine fibroids should be treated surgically. The actual condition of the patient will determine what kind of treatment should be taken for uterine fibroids. According to Wan Guiping, uterine fibroids are a common disease in women, with a prevalence of nearly 30% in adult women, and the disease is related to obesity, diabetes and family history. Uterine fibroids are very familiar to many middle-aged women because they are one of the most common benign tumors in gynecology. It has been found that close to 30% of women between the ages of 30-50 suffer from uterine fibroids, a disease that has been on the rise in recent years, and most of the symptoms are not obvious. The most common symptoms of fibroids are menstrual changes: shortened menstrual cycles, prolonged periods or increased menstrual flow, especially heavy bleeding in a short period of time, which can cause severe anemia in patients. When fibroids increase in size, they can press on adjacent organs and cause frequent urination, constipation, ureteral effusion and hydronephrosis. In general, fibroids do not cause pain, but if subplasma fibroids twist, they can cause acute abdominal pain; submucosal fibroids can stimulate contractions and cause spasmodic pain, and when the fibroids are red and degenerative, they can cause severe pain. Uterine fibroids can also cause increased leucorrhea and infertility. Some people have no discomfort, but are found to have fibroids only after an ultrasound gynecological examination. So, how should uterine fibroids be treated? Wan Guiping said that if the multiple fibroids are as big as 2.5 months of pregnancy or more, or if the single fibroids are larger than 5 cm in diameter, they can be treated by laparoscopic surgery, and those who do not reach the indication for surgery can be treated by regular follow-up and ultrasound every 3-6 months. The most important thing is that you should be able to get the most out of your time. “Why would I have a chocolate cyst?” Xiao Ping’s doubts, after careful questioning by the doctor, was finally answered. It turns out that although Xiao Ping is not very old, she had an abortion at the age of 15, which is one of the main factors triggering chocolate cysts. According to Wan Guiping, today, the incidence of chocolate cysts in the clinic is very high, accounting for about 20%, the onset of the population for women of childbearing age, the lesions will naturally shrink after menopause. Wan Guiping explained that chocolate cysts, also known as endometriosis, most patients have a history of abortion, abortion leads to endometrial ectopic implantation, but also with their own embryonic factors, acquired environmental factors, etc., because the endometrial cells flow with the blood, stop where they are planted, can be ectopic implantation everywhere, the lungs, cranial, nasal cavity, etc. may be the endometrium ” Sometimes patients with nosebleeds are seen in the Department of Five Gases and are finally diagnosed with nosebleeds caused by endometriosis.” Moreover, Wan Guiping said that as abortion is getting younger, chocolate cysts are also getting younger. For women of childbearing age, besides causing obvious pain during menstruation, slight distension in the abdomen at ordinary times and painful intercourse, chocolate cysts can most seriously affect fertility. “In addition to the chocolate cyst itself, which can cause adhesions and obstruction of the fallopian tubes to trigger infertility, the endocrine disorder caused by chocolate cysts can also affect the development of follicles, thus leading to infertility.” Therefore, Wan Guiping reminded that chocolate cysts should be treated in a timely manner, and currently, laparoscopic surgery allows patients to be treated without the pain of opening the abdomen. The first thing you need to do is to find out if you have cervical cancer. 38-year-old Chen Ju (a pseudonym) followed her husband from abroad to Nanjing to work, six months ago, Chen Ju was bleeding because of sex, for her, this is a very shy topic, and, the family’s economic conditions are not good, she is not willing to go to the hospital to spend this waste of money, “maybe there is some inflammation, after a while it will be fine. ” Chen Ju self-consoled. Recently, Chen Ju found that her symptoms were getting heavier and heavier, so she had no choice but to go to the obstetrics and gynecology department of Jiangsu Provincial Hospital of Integrative Medicine. The final test results proved the doctor’s suspicion, which was undoubtedly a bolt from the blue for Chen Ju, and cancer, for her, was death. However, Wan Guiping told her that she was found in time and still had a chance for surgery. According to Wan Guiping, the incidence of cervical cancer ranks second after breast cancer among all kinds of malignant tumors in women, and the trend of young patients has increased significantly in recent years; 80% of patients have already developed into invasive cancer (i.e., can spread and affect life expectancy) when they are diagnosed. However, with early diagnosis and treatment, the cure rate can reach 100%. It takes about 10 years for cervical precancer to develop into cervical cancer, therefore, early diagnosis and treatment of cervical precancer is an important measure to reduce the incidence of cervical cancer. The most effective method is to have cervical cancer screening for women of childbearing age once or twice a year.