Treatment of uterine fibroids

    Uterine fibroids are a common benign gynecological tumor that occurs in women between the ages of 30 and 50. It is formed by smooth muscle cells of the uterus and a small amount of myofibrous tissue. According to the growth site of fibroids, there are three types of fibroids: interstitial fibroids, subplasmic fibroids and submucosal fibroids.  There are many treatments for uterine fibroids, including hormone therapy, surgery, interventional therapy and Chinese medicine. So what is the best method to choose? In fact, conservative and surgical treatments, western medicine and herbal medicine have their own advantages. When choosing treatment methods and means, the following conditions should be judged: First, the age factor. It is generally believed that the formation of uterine fibroids is strongly related to excessive sex hormones. Therefore, if the patient is over 40-50 years old and has started menopause, and there are no clinically significant symptoms such as excessive bleeding or pain, then perimenopausal expectant therapy can be used. This method does not use any drugs or other surgical treatments. Internal gynecological examinations and ultrasound examinations are performed every 3 months. If there is no rapid growth of the tumor, bleeding and pain symptoms do not increase, then you can “expect” the fibroids to shrink through age and the decreasing level of sex hormones. The second factor is the size of the tumor. If the size of the fibroid is equal to one and a half months (5cm) or more of the pregnant uterus, surgery should generally be considered. In addition, if the fibroids are growing faster, or if they are protruding into the abdominal cavity and have a tendency to twist, they should also be removed surgically. Of course, other indications such as severe anemia, heart disease, and general condition should be considered for surgery. The third is the symptom factor. The main symptoms of uterine fibroids are: vaginal bleeding, frequent and urgent urination due to compression of the bladder and ureter or pelvic veins by the tumor, hydronephrosis, swelling of the lower limbs, pain and swelling in the lower abdomen or lower back, increased leucorrhea, infertility, etc.