Patient's question:
Each menstrual cycle is accompanied by dysmenorrhea with heavy bleeding, including blood clots. Last year, I experienced symptoms of anemia, and this year it is accompanied by lower back and back pain. Examination and test results: MRI findings. The anterior cervix measures 58x52x49mm with an irregular shape and heterogeneous muscle layer echoes. The anterior wall has a low-echo area of 16x15x12mm. The right anterior wall has a low-echo area of 23x20x18mm. The posterior wall near the mucosal layer has a diameter of 6mm, with heterogeneous muscle wall echoes. The endometrium is 6mm thick. The left ovary measures 43x30x35mm, with no echoes inside, measuring 33x30x24mm, with a regular shape and clear boundaries. The right ovary measures 31x30x20mm, with CDFI showing blood flow patterns inside and around it. The posterior uterus has a fluid level of 12mm.History of treatment and effectiveness: I was treated for anemia for a period of time, but at that time, uterine fibroids were not detected, so no treatment was given.
What kind of help do I need: I want
Doctor's answer:
Uterine fibroids can be left untreated if they do not cause clinical symptoms, and regular monitoring is sufficient. However, your uterine fibroids have already caused clinical symptoms. Therefore, you should consider surgical removal. For middle-aged and elderly women who are pregnant, hysterectomy is often considered because uterine fibroids have a 50% incidence rate, and 33% of people undergo a second surgery. The above answer is hoped to help you. Thank you.