What are the treatments for uterine fibroids? When do uterine fibroids require surgery?

Uterine fibroids are a serious threat to women's health and can easily lead to adverse consequences such as infertility and miscarriage. Women must seek symptomatic treatment as soon as possible and not delay the disease. What are the treatment guidelines for uterine fibroids?

Generally speaking, whether surgery is necessary depends on the size of the fibroids and the severity of the patient's symptoms. If the diameter of the fibroids is >4~5cm, there are more than 2, the volume is larger than the size of a 10-week uterus, accompanied by irregular bleeding, leading to anemia or compression symptoms, the fibroids need to be removed. If the tumor is small and does not affect work and life, gynecological examinations should be performed regularly 1-2 times every six months under ultrasound technology observation.

(1) Drug treatment: long course of treatment, slow effect, high cost, easy to cause endocrine disorders, osteoporosis, liver and kidney dysfunction, large side effects, patients often rebound and relapse after stopping the drug, and it is incomplete.

(2) Laparotomy: This is the traditional laparotomy to remove the uterus and its appendages. It is very harmful to women, such as postoperative infection, rapid aging, decreased femininity, and postoperative recurrence. It is also very painful, costly, and slow to recover.

(3) Radiotherapy: It is used for patients with small fibroids, ineffective drug treatment, and contraindications to surgery. Radiotherapy often causes side effects such as menopause and secondary inflammation, and has many contraindications. It is an uncommon treatment method.

Uterine fibroids-preserving surgery can be divided into traditional laparotomy, minimally invasive surgery and non-invasive surgery. Compared with traditional surgery, minimally invasive surgery has the advantages of no laparotomy, less bleeding, less trauma, faster recovery and no obvious scars.