Patient's question:
I had laparoscopic surgery to remove a uterine fibroid from the left posterior wall of the uterus 3 years ago. The fibroid was smooth muscle. Now I have a child (cesarean section) who is 11 months old, and multiple uterine fibroids have recurred on the anterior wall of the uterus, the largest measuring 2.62.3. The size of the uterus is equivalent to a 2-month pregnancy. The ovaries and cervix are normal. My menstruation is incomplete, and I am currently taking Guizhi Fuling capsules, which have stopped my menstruation.Given my current condition, is it better to continue taking medication or undergo surgery? If surgery is necessary, can it be done laparoscopically while preserving the uterus, or would a total hysterectomy be required?
Doctor's answer:
The treatment of uterine fibroids depends on the patient's age, fertility requirements, symptoms, the size, location, number of fibroids, and the patient's overall health condition. If the fibroids are small and asymptomatic, especially in women near menopause with low sex hormone levels, the fibroids may shrink or gradually disappear on their own. Follow-up visits every 3-6 months are recommended. If the fibroids continue to grow or significant symptoms appear, further treatment should be considered.The traditional method for treating uterine fibroids is through open surgery, which involves large incisions and a slower recovery. In contrast, laparoscopic surgery, a new technology, has many advantages. It features smaller incisions, less patient pain, and a faster recovery.
Advantages of laparoscopic surgery for uterine fibroids:
- Minimal surgical trauma
- Less postoperative pain, especially beneficial for women who have not borne children
- Rapid postoperative recovery
- Ability to eat semi-solid foods and walk the day after surgery
- Discharge typically within 3 days postoperatively
- Return to normal life within 1 week after surgery