The relationship between uterine fibroids and infertility

Uterine fibroids are the most common benign tumors in women between the ages of 30 and 50, with some studies suggesting a prevalence of 20 to 25 percent in women older than 35. With the increasing pressure of social competition and the deepening of the concept of late marriage and late childbearing, especially more women delay the age of pregnancy and childbirth, uterine fibroids may have been known as a source of infertility. Based on the location of fibroids, they are generally classified as: 1) Subplasma fibroids 2) Intermural fibroids 3) Submucosal fibroids. It is generally believed that the first two types of fibroids generally do not have a great impact on pregnancy, but if the volume is too large (a single diameter of more than 8CM multiple fibroids diameter of more than one fibroid greater than 5CM, accompanied by obvious compression or other uncomfortable symptoms before the need for surgical treatment, after the operation is routinely considered the need for contraception for 2 years, in recent years, some experts believe that contraception for 6 months has been sufficient, because if the myometrium fails to (In recent years, some experts believe that 6 months of contraception is enough, because if the myometrium fails to heal completely, the result will not be too good after 6 months). For submucosal fibroids, it is generally believed that hysteroscopic electrosurgery of submucosal fibroids is needed, and pregnancy can be considered 2 to 3 months after surgery. According to traditional Chinese medicine theory, uterine fibroid belongs to the category of “obstruction in the abdomen” and “accumulation”, and the main pathogenesis is the deficiency of positive qi in the body, internal invasion of wind, cold, dampness and heat evils, or emotional factors, injuries caused by sexual intercourse, or dietary disorders, which lead to malfunction of internal organs and blockage of qi. Blood stasis, phlegm, dampness and other tangible evil condensation does not dissipate, stop gathering in the lower abdomen and uterus, accumulated over time, and gradually formed. Usually, according to the clinical manifestations, it can be classified into Qi stagnation and blood stasis type, phlegm-dampness stasis type, damp-heat accumulation type, kidney deficiency and blood stasis type, etc.; respectively, it can be treated with Shaohui Abdominal Blood Stasis Expelling Pill or Rhubarb V Worm Pill with addition and subtraction; Cangshui Phlegm Conducting Pill and Guizi Poria Pill with addition and subtraction; Rhubarb and Mudanpi Formula with addition and subtraction; Six-flavored Dihuang Pill and Four Substance Tang with addition and subtraction. Please consult a professional TCM gynecologist for specific identification and treatment choices.