Do you have to take medication for uterine fibroids?

The treatment of uterine fibroids needs to be based on the condition. If the fibroid is not big and there is no symptom such as frequent urination or heavy menstrual flow, it can be temporarily observed or controlled by appropriate medication. If the fibroid is big, multiple, with symptoms such as heavy menstrual flow, frequent urination, habitual miscarriage with no other cause found, or there is a tendency of growth after menopause, it usually needs surgical treatment, which can be supplemented by gonadotropin-releasing hormone medication after the operation. The treatment of uterine fibroids requires the physician to determine the treatment method based on the relevant laboratory tests and clinical history. Surgery is generally used to supplement the drug treatment, and depending on whether there is a requirement for childbearing, the surgery includes myomectomy and hysterectomy. After myomectomy, medication is usually used to inhibit the recurrence of fibroids and reduce the size of the uterine cavity, in order to improve symptoms such as heavy menstruation and frequent urination, and to improve the therapeutic effect. Uterine fibroids are characterized as sex hormone-dependent tumors, and antagonistic estrogen-progestogen drugs, such as mifepristone and triamcinolone, and gonadotropin-releasing hormone drugs, including leuprolide, are generally used. The choice of these drugs requires the doctor to make the appropriate judgment in conjunction with the specifics of the patient’s examination report. In addition, if the fibroid is found in a woman who is near menopause and the fibroid is smaller than the size of the uterus at 10 weeks’ gestation, it can be observed temporarily, and the fibroid will shrink naturally after menopause, and regular check-ups will be sufficient. If the fibroid is too large and causing discomfort, the most effective way is to have it removed surgically.