How to treat uterine fibroids

  Uterine fibroids are one of the most common benign tumors of the female reproductive system, mostly seen in women aged 30-50. The treatment of uterine fibroids includes the following: 1. No treatment for the time being and regular review: Most patients with uterine fibroids have no obvious symptoms, and most of them are found by chance during physical examination. If there are no clinical manifestations, fibroids can be left untreated, especially in menopausal women, because most fibroids can shrink after menopause. But not needing treatment does not mean that it can be ignored. Every 3-6 months, you need to go to the hospital for a review, and if the fibroids increase significantly, or if some clinical symptoms start to appear, further treatment is needed.  2.Medication: If patients with uterine fibroids have already shown some clinical manifestations, such as increased menstrual flow, significantly prolonged menstrual period, palpable mass in lower abdomen, increased leucorrhea or even purulent leucorrhea, etc., and the symptoms are relatively mild, or there are special circumstances that are not suitable for surgery, they can be treated with drugs that reduce estrogen levels, such as leuprolide injection or oral mifepristone, but because the drugs have certain side effects However, it is not recommended for long-term use.  3.Surgical treatment: Surgery is needed if the following conditions occur in patients with fibroids: (1) anemia due to excessive menstruation and poor results of medication; (2) abdominal pain and painful intercourse due to fibroids; (3) large fibroids or frequent urination, urinary urgency and constipation due to fibroids; (4) infertility or recurrent miscarriage due to fibroids; (5) suspected malignant changes of fibroids, etc. If these conditions occur, it is recommended to be hospitalized for surgery, and surgical removal of fibroids is the most effective method. Surgery for uterine fibroids can be performed openly to remove the fibroids; it can also be performed laparoscopically; and in the case of fibroids that protrude into the vagina, they can also be removed vaginally, a method that does not involve an incision in the abdomen.  In summary, asymptomatic or asymptomatic cases with small fibroids can be treated without treatment or medication. Surgical treatment is required when there is an indication for surgery.