Uterine fibroids causing small abdominal cramps can be treated with medication and surgery. Commonly used medications include goserelin, leuprolide and so on. For the older patients who have no requirement for childbearing, the effect of medication is not good or suspected to have malignant tendency, hysterectomy can be used; patients who have the requirement for childbearing, myomectomy can be used to alleviate the problem.
1. Medication: If surgery is not possible, medication can be used to reduce the size of the fibroid, the more commonly used is gonadotropin-releasing hormone analogs, such as goserelin, leuprolide and so on.
2. Surgery: The main treatment for uterine fibroids is surgery, which should be chosen according to the patient’s age and the need for fertility.
If the patient is younger and wants to keep fertility, he/she can undergo myomectomy, if it is submucosal fibroid, hysteroscopic resection can be used, if it is a single larger fibroid, myomectomy can be used; if it is an older patient, who doesn’t need to keep the fertility or suspected of malignant changes, hysterectomy is needed.
In addition, abdominal distension may not be related to uterine fibroids, but also need to actively rule out the existence of other causes, common causes include pelvic inflammatory disease, enteritis, etc., can follow the doctor’s instructions to clarify the diagnosis and active treatment to relieve abdominal distension.
The same disease, the patient’s physical condition is different, different stages of the disease, the treatment method is different, should be standardized treatment under the guidance of the doctor. All of the above medications should be used as prescribed by the doctor.