Are uterine tumors serious and can they be treated?

Uterine tumors are usually referred to as fibroids in clinical practice. Benign fibroids are usually less serious and can be treated conservatively or surgically to achieve clinical cure. However, some fibroids have the potential to degenerate and deteriorate more severely, requiring treatment through surgery combined with chemotherapy. Uterine fibroids are divided into interstitial fibroids, subplasma fibroids and submucosal fibroids according to the location of occurrence, and they occur in women of childbearing age: 1. If the examination results show that the fibroids are small and there are no obvious symptoms, treatment is usually not needed, and the fibroids can be reviewed regularly under the advice of the doctor to detect any changes in size, location or degeneration. In case of women who are recently menopausal or are preparing for pregnancy, they can also choose to apply mifepristone and gonadotropin-releasing hormone drugs for treatment. 2. If the degeneration of fibroids worsens, it will be more serious than before the degeneration. The degeneration of uterine fibroids may be glassy, cystic, sarcoma-like, calcification, etc., mostly accompanied by symptoms such as increased menstrual flow, prolonged periods, increased leucorrhea, lower abdominal mass and lower abdominal swelling. Under the guidance of doctors, mifepristone and tranexamic acid can be used for drug treatment or hysterectomy. 3. During pregnancy, uterine fibroids may increase in size due to more blood supply to the uterus, resulting in red-like changes, accompanied by severe abdominal pain, fever and other symptoms, which may lead to miscarriage in severe cases, but patients usually do not have life-threatening conditions and can be treated conservatively under the advice of doctors. However, attention should be paid to the presence of prenatal and postnatal hemorrhage during delivery. If the position of the fibroid affects the descent of the fetus, a cesarean section may be an option, and the doctor will decide whether to remove the fibroid together with the cesarean section depending on the degree of fibroid degeneration and the location of the fibroid.