In gynecology clinics, we often encounter such patients who are very nervous when they hear that there is a tumor on the uterus, and even think that having fibroids means having cancer. In fact, uterine fibroids are not terrible. The first thing you need to do is to get a good idea of what you are getting into. Patients have two major misconceptions Uterine fibroids refer to the growth of fibroids on the body of the female uterus, also known as uterine smooth muscle tumors, which are the most common benign tumors of the female reproductive organs. Generally, young and middle-aged women in their reproductive years are at high risk, and usually one in five people will develop the disease. “Although it’s common, not many people really know about it.” Lang Jinghe said, “There are often two misconceptions about uterine fibroids: paying too much attention and not paying attention.” “On the one hand, some people are frightened when an ultrasound reveals a two- or three-centimeter fibroid after a checkup.” Lang Jinghe said that this is completely unnecessary; uterine fibroids are easy to diagnose and treatment is also regulated, and many of them do not even require treatment. Generally speaking, if the uterus is not large, the fibroids are not many, there are no special symptoms, and it does not affect normal life and work, the patient can have regular gynecological checkups 1-2 times a year to closely monitor its changes. On the other hand, some people do not pay attention to medical checkups and ignore the “alarm signals” of their bodies. For example, once menstrual irregularities occur, such as sudden changes in the menstrual cycle, increased bleeding, excessive urination, frequent urination and other symptoms, they habitually take some Chinese medicine to regulate. In fact, this is likely to be myoma at work, easily ignored is also a big mistake. “Therefore, you should neither worry about it nor listen to it. It is most important for women to have a gynecological checkup every six months to a year after they are over 30 years old.” The most important thing is to have a surgery for the fibroids. Although fibroids are not a big problem, they can cause pain: if they grow on the mucous membrane of the uterus, they can cause menstrual disorders and even anemia; if they grow on the back wall of the uterus, they can compress the rectum and make defecation difficult; if they grow on the two sides of the opening of the fallopian tubes, they can affect the combination of eggs and sperm, leading to infertility or causing miscarriage. Therefore, it is important to “follow the doctor’s orders” on what treatment option to choose. ”Non-surgical treatments include interventional treatments and gonadotropin-releasing agent injections. The decision of whether to operate or not depends on the patient’s age, symptoms, size of the uterus, the number of fibroids and personal wishes. However, those with fibroids larger than or equal to the size of the uterus at 10 weeks of gestation, submucosal fibroids, infertility or miscarriage should be operated.” ”The special significance of the uterus for women dictates that patients often have no small amount of apprehension when undergoing surgery. But this is actually not necessary.” In particular, Lang pointed out that nowadays, the surgical protocols are fully capable of taking the patient’s feelings into account: removing the fibroids and preserving the uterus for younger patients who have not yet had children; if the fibroids are too large or too many, and the uterus has completed its “historical mission” of giving birth, it can be removed. In fact, the removal of the uterus does not affect the function of the female endocrine system and the harmony of sexual life. This is because even if the uterus is removed, the ovaries remain, and the uterus is only a fertility organ that lays the groundwork, while it is the ovaries that dominate the female endocrine system. The actual fact is that there is no special medicine to treat uterine fibroids, for example, the marketed anti-tumor pills and Baixian Dan, which are mostly used to reduce menstrual bleeding after the disease and cannot treat fibroids. If you have fibroids, get pregnant within 3 years If the fibroids have been removed, will they recur? The answer is yes. “In one patient, I have repeated several times and have removed more than 200 fibroids in total. I should say that the chance of recurrence is closely related to the number of fibroids.” As for many people’s concern about whether patients with fibroids can have children, Lang Jinghe suggested that it is best for patients to get pregnant within three years, during which the disease recurrence rate is low and the success rate is naturally high. In addition, after surgery, patients usually have anemia, which is usually not a problem with some iron supplements. Regular follow-up visits to the hospital are also beneficial for recovery.