It is important to mention that most fibroids do not require treatment, but only regular checkups, either medication or surgery, only for patients who have symptoms or whose lives are inconvenienced by fibroids.
Currently, the following treatments are commonly used.
Drug treatment: Commonly used drugs include GnRHa, Danazol, androgens, progestins, etc.
Surgical treatment: Myomectomy or total hysterectomy by transabdominal, transvaginal, translaparoscopic, transhieroscopic, etc;
Traditional Chinese medicine: evidence-based treatment, acupuncture treatment, etc.
Is the surgery going to leave a long scar on the stomach?
There are many different ways and means of surgery, only traditional transabdominal surgery will leave a long scar, while laparoscopic, hysteroscopic or negative surgery will basically leave no scar or only a few small scars, for example, laparoscopic myomectomy or laparoscopic total hysterectomy will only leave 3-4 scars about 0.5-1.5cm long, while transhysteroscopic submucosal surgery will only leave 3-4 scars. There are no scars in the abdomen for hysteroscopic submucosal myomectomy or transvaginal myomectomy or total hysterectomy, but of course there are indications for each procedure. In our hospital, almost all fibroids that require surgical treatment can be accomplished by the above-mentioned minimally invasive procedures.
Is laparoscopy an option for fibroid surgery?
Laparoscopy is a kind of minimally invasive surgery developed in recent years, which only requires 3-4 small openings of about 0.5-1.5cm in size on the stomach, and then the surgery is completed by instruments, which has the advantages of small trauma, fast recovery and aesthetics. Less than 5% of patients require open or other surgical procedures for various reasons, such as submucosal fibroids, extensive pelvic adhesions, multiple giant fibroids, etc.
Can fibroids recur?
Fibroids are benign tumors related to women’s hormone levels, which have a strong regenerative ability and are prone to recurrence after surgery. Also because they are related to hormone levels, they may shrink or even disappear after menopause, but if they continue to grow after menopause, we should consider whether they are degenerative or cancerous and need to pay attention to them.
What are the dietary concerns after having fibroids?
To prevent uterine fibroids, it is natural to start with controlling hormone secretion. In fact, the medical community has conducted experiments through animals, tests show that long-term consumption of high-fat food will tend to promote the production and release of certain hormones.
1.Keep your diet normal, on time and in the right amount. Sudden overeating can easily cause metabolic disorders.
2, try to eat less greasy food, adhere to eat more fish, eggs and vegetables and fruits.
3, often eat peanuts, melon seeds and sesame seeds, such as dried fruit-type food is rich in nutrients.
4, soy can regulate the body’s hormones, eat more soy products can maintain endocrine balance.
5, eat less spicy fried and barbecued food, do not smoke and alcohol abuse.
What do you need to pay attention to after uterine fibroid surgery?
1.Post-operative cleanliness: pay attention to cleaning the vulva, maintain personal hygiene, and keep the incision dry and clean.
2.A light diet should be taken after surgery
3, after surgery should be prohibited sex: uterine fibroid removal surgery should be prohibited sex for at least one month, uterine subcision, uterine total excision need to prohibit sex for two months, three months, and this also depends on the patient’s own situation to decide, must be in the hospital after the review of no abnormalities before you can have sex. If you are trying to get pregnant, it is safer to get pregnant 1-2 years after the removal of the larger fibroids.
Do I have to have a cesarean section if I find out I have fibroids during pregnancy?
Some patients with fibroids believe that a cesarean section is necessary for pregnancy with fibroids. In fact, vaginal delivery can be considered if the pregnancy is asymptomatic and generally does not affect the descent of the fetal head and the recovery of the uterus during delivery. The woman with fibroids can also give birth naturally, so there is no need to intervene urgently, and the fibroids will increase in size under the effect of high levels of estrogen and progesterone during pregnancy, and will gradually shrink after the recovery of hormone levels after delivery, so there is no need to blindly use cesarean delivery to “remove fibroids”. If the uterine fibroids are large and multiple, they may affect the fetal head descent, so a cesarean section with myoma removal can be considered. Although most fibroids found during cesarean delivery can be removed, large fibroids near the uterine arteries, ureters, and interstitial tubules should be treated with caution. If done hastily, they may cause rupture of large blood vessels and damage to the ureters and fallopian tubes, which may not be worth the loss.