Q: I found the physical examination when a uterine leiomyoma, 2 × 3cm size. Do you need surgery?
A: The treatment depending on patient age, fibroid size, location, availability of fertility requirements, whether the severity of bleeding complications and comprehensive judgments, determine treatment, specifically as follows:
Close observation
Asymptomatic uterine fibroids, small size, can be every 3 to 6 months review time, more than 40 years of age, small amount of bleeding, so no malignant lesions after curettage, but also every 3 to 6 months review time, and appropriate rest, supportive therapy, especially in traditional Chinese medicine treatment. No significant changes in the tumor, no bleeding or bleeding is not serious and look forward to menopause, the fibroids shrink gradually.
Myoma enucleation
The age of 35 years of age, not given birth, tubal patency, normal man, no malignant tumor, should be done enucleation nuclear muscle to retain fertility. Myomectomy is the main risk surgery bleeding, uterine rupture in future pregnancies should be alert and placenta accreta, it reached full-term Cesarean section should be done selectively.
Hysterectomy
Multiple uterine fibroids, the size of greater than 3 months of pregnancy, symptoms, who have descendants; uterine fibroids greater than 6 months of pregnancy, although asymptomatic, should be done hysterectomy, ovarian conservation or not, as the patient's age and ovarian conditions.
Uterine fibroids fibroids with pregnancy incarcerated in the absence of the pelvis, vaginal delivery is not hampered by the fetus, in principle, should vaginal delivery, postpartum fibroids left to re-inspection, according to case. For multiple fibroids, the patient does not want to keep my uterus, surgical technology is sufficient competent, but also can be selective cesarean hysterectomy.
Radiation Therapy
Over the past who have one of treatment of uterine fibroids, especially in surgery and have a greater risk of clinical symptoms, is currently only implemented on individual circumstances, the vast majority believe that unnecessary, radiation therapy will also allow the loss of ovarian function.
Maybe you want to see this article older women uterine fibroids need
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