How to Confirm Uterine Fibroids After Menopause

Patient's question:

During the physical examination at the unit, a colposcopy revealed vaginitis and uterine fibroids, but I have been postmenopausal for a long time.

Doctor's answer:

Hello, I'm not sure about the size and blood supply of your fibroid. Uterine fibroids are estrogen-dependent tumors. Generally, fibroids may shrink on their own after menopause in some patients, and if there are no symptoms, it is recommended to monitor them. For newly discovered fibroids after menopause, it is important to determine the nature of the fibroid. If the fibroid is large and benign, surgery may not be recommended. Non-invasive ultrasound-focused therapy can be considered, which does not require surgery or anesthesia and preserves the female uterus, causing no harm to you. If there is a possibility of malignancy, surgical resection combined with radiotherapy and chemotherapy is recommended. When reviewing fibroids at the hospital, it is recommended to undergo color Doppler ultrasound or transvaginal ultrasound examination.

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