Patient's question:
In the past half year, there has been an increase in menstrual volume with blood clots, without dysmenorrhea, normal urination and defecation, but leg weakness and fatigue. I don't know about the previous treatment and its effectiveness:On the 16th, an ultrasound showed a reduced anterior uterine volume with abnormal morphology, an intracavitary low-echo mass measuring approximately 10.38.5 cm, with clear boundaries and heterogeneous internal echoes. The left ovary appeared to be about 3.82.6 cm, while the right ovary was about 2.21.8 cm. What kind of assistance is needed: Can the uterus be preserved, and what is the most suitable surgery?
Doctor's answer:
Your uterine fibroid is quite large and has already shrunk below the size of a normal uterus. It is very difficult to preserve the uterus and remove the tumor. It is recommended to undergo a hysterectomy or subtotal hysterectomy. Even if the uterus is preserved after removing such a large fibroid, it would be incomplete and dysfunctional. If you are already pregnant, the uterus should be removed. It is advised to have the surgery as early as possible to avoid excessive menstrual bleeding and related symptoms.