Patient's question:
Detailed medical condition and consultation purpose: This time (yesterday) during the physical examination, it was found that there is a uterine fibroid measuring 1518mm and endometritis. What should be done in the next stage?Doctor's answer:
Hello: You can try medication first. Western treatment for uterine fibroids:1. Androgen therapy: For patients with heavy menstrual bleeding and a uterus size similar to that of an 8-week pregnancy, and after ruling out endometrial cancer, androgen therapy can be considered.
2. Myomectomy, preserving the uterus, is suitable for young patients who wish to have children and have normal fallopian tubes.
3. Hysterectomy, for patients with large fibroids or excessive menstrual bleeding who do not have further fertility requirements. However, there are many postoperative complications with these treatments.
A. 34% of women experience ovarian failure and menopausal symptoms within 2 years after surgery.
B. Hysterectomy affects the integrity of the pelvic floor, shortens the vagina, and has a certain impact on sexual life.
C. The incidence of cardiovascular diseases increases. After hysterectomy, early ovarian failure and reduced estrogen levels lead to an increased risk of cardiovascular diseases, and patients may experience adverse reactions such as obesity, hypertension, heart disease, and osteoporosis.