After myomectomy at age 45, if a woman has gone through menopause, the tumor usually does not come back. If they are not yet menopausal, they may recur.
The formation of fibroids is related to genetic predisposition, sex hormone levels, and stem cell dysfunction. 45 year old women who undergo leiomyotomy may not experience a recurrence of fibroids after surgery if they have gone through menopause and have low levels of estrogen in their bodies. However, if a woman uses hormone supplementation therapy after menopause, it may also cause the leiomyosarcoma to recur.
If a 45-year-old woman undergoes leiomyosarcoma removal surgery and has normal menstrual periods after the surgery, the estrogen level in her body is generally normal as well, but there is still a possibility that the leiomyosarcoma may recur again. If symptoms such as abnormal menstruation and lower abdominal discomfort occur, it is recommended to consult a doctor in a timely manner and follow the doctor’s instructions for targeted treatment.