The best treatment for uterine fibroids Those who have uterine fibroids and have been evaluated by interventional specialists who have interventional surgical pointers are responsible for telling you that interventional treatment is the preferred treatment. Uterine fibroids are benign tumors that occur in women of childbearing age and are often treated because of symptoms or images of fertility. They are characterized by increased menstrual flow with blood clots, prolonged menstrual cycles, vaginal bleeding, combined infections and ulcers, infertility, frequent urination, urinary urgency, even urinary retention, anemia, lumbosacral pain, and in very few cases, malignancy. All treatments and modalities are aimed at reducing or eliminating symptoms, and from this point of view interventional therapy has a 100% success rate and almost 100% cure rate for patients with interventional surgery guidelines. Interventional treatment of uterine fibroids has been carried out abroad and at home for nearly 30 years, and is a very mature procedure that has been reported ad nauseam. The former First Lady of the United States was treated in this way and appeared in the White House 3 days after the operation. There is simply no such thing as an interventional treatment that is still in its exploratory stage. Interventional procedures are almost always performed by interventional specialists. Obstetricians and gynecologists are hesitant, questioning and rejecting interventional treatment due to the limitations of their specialty, the diversity of their professional treatment tools, the old-fashioned nature of their concepts and even the drive of their personal interests. The biggest advantages of interventional treatment are: 1. It can preserve the function of the uterus intact, without affecting normal menstruation, pregnancy and childbirth, and can return a complete woman to your family; 2. Even if one intervention fails, it does not affect the surgery and medication in any way; 4. It can be said that there is almost no pain. The main benign uterine lesions suitable for interventional treatment are uterine fibroids, adenomyosis, functional uterine bleeding, postpartum hemorrhage and so on. The advantages of interventional treatment are the elimination or control of the tumor, good control of the corresponding symptoms, especially bleeding, and the preservation of the uterus and its normal functions. Not all uterine fibroids require interventional treatment. The main clinical indications are: uterine fibroids causing significant symptoms, such as prolonged and heavy periods, dysmenorrhea, rectal and bladder compression, significant abdominal masses, infertility or miscarriage, and significant psychological symptoms after the discovery of the tumor. Uterine adenomyomatosis, functional uterine hemorrhage and postpartum hemorrhage all have bleeding as the main symptom, and the purpose of interventional treatment is to stop bleeding. The main technical points of interventional treatment: ☆ All require super-selective uterine artery cannulation, which can be achieved by using 3F or 5F catheter and super-slip guidewire in general, or microcatheter if necessary. The opening of the uterine artery is highly variable, so internal iliac artery angiography can be performed first to understand its starting point. Because of its forward opening, there is an overlap in the orthogonal projection, and the oblique position is more favorable. Currently, the main embolic agents used in China are PVA particles, Pingyangmycin iodine oil emulsion (PLE) and date palm microspheres, all of which are terminal embolic agents. 500μm-710μm of PVA particles are appropriate, and 700-900μm of date palm microspheres can be used. The amount of iodine oil is 4-10ml, depending on the size of the tumor. Pingyangmycin is dissolved in water-soluble iodine contrast agent in a ratio of 0.5-1:1 with iodine oil. The embolic agent must be injected slowly under fluoroscopic surveillance to prevent paracrine or regurgitant misembolization. Control of the degree of embolization is important. With PLE, it is appropriate to stain the majority of the uterine body and the addition of gelatin sponges is usually not necessary. If there is still a large amount of vaginal bleeding during treatment, the addition of a small amount of gelatin sponge has an immediate hemostatic effect. With PVA, embolization of the spiral uterine artery is appropriate to achieve no visualization, and it is not necessary to achieve complete embolization of the main stem. The embolic agents and embolization methods for uterine adenomyomatosis and functional uterine bleeding are the same as those for uterine fibroids, while postpartum hemorrhage can be treated with gelatin sponge embolization first. If the fibroids are small and the symptoms are not obvious, there is no need for surgery, after all, such surgery is more harmful to women. The actual tumors are usually in the low estrogen level when the patient is nearing menopause, so the fibroids can shrink or disappear naturally. If the tumor is very large, surgery is needed, but of course the less traumatic the surgery, the better. The best way to treat fibroids at present is the minimally invasive means of intervention, without incision and with fast recovery. Total hysterectomy not only causes a lot of damage to the patient and a long recovery period, but also causes many after-effects. Since the uterus is involved in the immune and endocrine regulation of women, removal of the uterus, even if the ovaries are preserved, often causes symptoms such as early menopause, endocrine disorders, decreased immune function, vegetative dysfunction, and osteoporosis. In patients with myomectomy, 60% of them will recur within a short period of time. Uterine fibroids, also known as uterine smooth muscle tumors, are the most common type of benign tumors of the female genitalia. Usually treatment with Gui Zhi Fu Ling Capsules, Uterine Tumor Eliminator, Bacitracin and the like will be tried. 5CM size fibroids are indicated for surgery.