Common treatments for uterine fibroids include medications such as gonadotropin-releasing hormone analogs, surgery, and other treatments. No treatment is absolutely effective, and only effective treatments are prescribed according to the individual’s condition. For patients with small fibroid tumors and no symptoms, they can look forward to treatment.
1. Drug therapy: it is suitable for those who have mild symptoms, near menopause or whose systemic condition is not suitable for surgical treatment.
(1) Gonadotropin-releasing hormone analogs can reduce estrogen to the postmenopausal level, relieve symptoms and inhibit the growth of leiomyoma, the disadvantage is that after stopping the drug, it gradually increases again, and menopausal syndrome may occur after using the drug;
(2) Mifepristone, can be used as a preoperative drug or early menopause, should not be applied for a long time.
2. Surgical treatment: it is suitable for patients with excessive menstruation caused by leiomyoma, severe symptoms, suspected sarcomatous changes and compression symptoms. According to the symptoms, size and location of the fibroid, and whether there is a requirement for childbearing, myomectomy and hysterectomy can be chosen, which can be operated transabdominally, transvaginally or laparoscopically.
3. Others: mainly for those who cannot tolerate surgery or do not want to have surgery, mainly uterine artery embolization, high-energy focused ultrasound, microwave ablation and so on.
The treatment of uterine fibroids should be personalized according to age, symptoms, fertility requirements, size and number of fibroids. If you have uterine fibroids, you should go to the hospital in time and choose the appropriate treatment method under the doctor’s comprehensive assessment.