Patient's question:
Patient Gender: Wang YanPatient Age: I am 28 years old, married, and have children. The child is 5 years old.
Detailed Medical Condition and Purpose of Consultation: Uterine Fibroids
History of Previous Diagnoses and Treatments, as well as Their Effects: The uterine fibroid was discovered 2 years ago. Initially, the fibroid was only 0.5 cm in size, and the doctor said it did not require treatment.
In March 2005, a follow-up examination revealed that the uterine fibroid had grown to 3 cm. After taking 3 boxes of Gui Zhi Fu Ling Jiao Nang (Cinnamon Twig and Bupleurum Decoction) per course of treatment, the doctor recommended a follow-up in 6 months. If the fibroid grew to a certain size, surgery would be necessary.
Doctor's answer:
Hello; You can try conservative treatment first, and surgery may be necessary if needed. Western medicine 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 excluding endometrial cancer, androgen therapy can be used.
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 larger fibroids or excessive menstrual bleeding who do not have further fertility requirements, a total hysterectomy is performed. However, there are many postoperative complications.
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.