1.Do I have to be treated if I have fibroids?
This statement is not entirely correct, some fibroids need treatment, while some fibroids do not need treatment, and some small fibroids can be observed with regular follow-up.
2.What kind of fibroids need to be treated?
(1) Excessive menstrual flow and ineffective drug treatment;
(2)There are obvious symptoms of pressure;
(3) Large fibroids (uterus at 3 months gestation size or above);
(4) small fibroids but the patient is under psychological pressure and requires treatment.
3.What are the treatment methods for fibroids?
(1) Surgery: It has been applied for a long time and has exact efficacy. The main surgical procedures are: (transabdominal, transvaginal, transabdominal laparoscopic).
(2) Interventional treatment: It has been used in clinical practice for more than ten years and is the main treatment method for uterine fibroids in western developed countries.
(3) Drug therapy: it is under research and its efficacy is not exact. The main drugs currently used in clinical practice are: androgens, hormone-releasing hormone analogs (LHRHa), etc.
(4) HIFU high-intensity ultrasound focused knife: it has not been used in the clinic for a long time and is under observation.
(5) Radiofrequency treatment: It has not been used in the clinic for a long time, and there are many complications.
4.What is the best treatment method?
There is no absolute best treatment method for uterine fibroids, only the suitable method according to the patient’s specific situation. In general, the method that preserves the uterus and is less traumatic should be the first choice, which is the reason why westerners choose interventional treatment.
5.How is the interventional treatment for uterine fibroids done?
A special catheter is inserted into the blood supply artery of the fibroid under the guidance of a digital subtraction angiography (DSA) machine at the root of one thigh, through a tiny incision the size of a meter of sesame seeds, and an embolization agent is applied to block the blood supply of the fibroid. The purpose of ‘starving’ the fibroids is achieved.
6.What is the pain during the interventional treatment of fibroids?
Interventional treatment is done under anesthesia, so there is no pain during the operation. 1-3 days after the operation, there will be some pain, but most of it can be relieved by medication.
7.How long does the interventional treatment of fibroids take?
The procedure takes less time, the average operation time is 20 minutes.
8.What will be the reaction after interventional treatment of fibroids?
This is a normal reaction after the intervention and can be treated after symptomatic treatment.
9.What do I need to pay attention to after the interventional treatment?
There is no special requirement for interventional treatment, generally, the brakes will be applied within 6 hours after the operation, and you can move freely within 24 hours; you can be discharged from the hospital in 3 days, and you can go to work after a week.
10.What is the effect of interventional treatment for uterine fibroids?
After more than 20 years of observation, interventional treatment of uterine fibroids has been a mature technology and has achieved better results in clinical practice, and has become the preferred method to replace hysterectomy in the treatment of uterine fibroids abroad.
11.Will fibroids recur after interventional treatment?
There is no problem of recurrence because of necrosis of fibroids after interventional treatment, which is supported by domestic and foreign cases and our data.
12.Can I have children after interventional treatment of fibroids?
Fibroids themselves can lead to infertility, with an incidence of 25%-40%. With the disappearance of fibroids after interventional treatment, the factors that cause infertility due to fibroids disappear and the patient’s chance of conception increases. There are reports of pregnancy and delivery of normal fetus after interventional treatment in China and abroad, and we also have cases of pregnancy after treatment.
13.What are the advantages of minimally invasive interventional treatment for uterine fibroids?
(1)No need to open the abdomen, no need to remove the uterus, and the function of the uterus is preserved;
(2) Few side effects and complications;
(3) Fast recovery and precise efficacy;
(4) Short hospitalization time.