Patient's question:
My mother is 54 years old this year and has had multiple uterine fibroids for over a year. The largest one is 3.1×4.7 cm. During the follow-up examination, it was found that the fibroids have not grown and the diameter of the largest one has even shrunk by 0.3 cm. She hasn't had her period for 5 months, but it has returned recently, with a large amount of bleeding, and she has also experienced eye swelling. I want to know if this is because the fibroids are showing signs of malignancy. I hope you can tell me, thank you.Doctor's answer:
Hello: Dietary precautions for uterine fibroid patients:1. Eat a light diet and avoid foods that may trigger inflammation, such as mutton, shrimp, crabs, eel, salted fish, and black fish.
2. Avoid spicy foods and drinks like chili peppers, Sichuan peppercorns, raw scallions, raw garlic, and baijiu.
3. Avoid foods that are hot in nature, promote blood clotting, or contain hormone components, such as longans, jujubes, donkey-hide gelatin, and royal jelly.
4. Consume more lean meat, chicken, eggs, quail eggs, crucian carp, softshell turtle, white fish, cabbage, asparagus, celery, spinach, cucumber, winter melon, mushrooms, tofu, kelp, laver, and fruits.
Western medical treatment for uterine fibroids:
1. Androgen therapy: For patients with heavy menstrual bleeding and a uterus the size of an 8-week pregnancy, and after ruling out endometrial cancer, androgen therapy may be used.
2. Myomectomy (preserving the uterus): Suitable for young patients who wish to have children and have normal fallopian tubes.
3. Hysterectomy (complete removal of the uterus): For patients with large fibroids or excessive menstrual bleeding who do not wish to have further children. However, this treatment has many postoperative complications.
A. 34% of women experience ovarian failure and menopausal symptoms within 2 years after surgery.
B. Hysterectomy affects pelvic floor integrity, shortens the vagina, and may impact sexual life.
C. The incidence of cardiovascular diseases increases after hysterectomy, as early ovarian failure and reduced estrogen levels lead to adverse effects such as obesity, hypertension, heart disease, and osteoporosis.