Patient's question:
Detailed medical condition and consultation purpose:I have had uterine fibroids for ten years, which are multiple on the anterior wall, measuring 6.5x5.5 cm, etc. The recent internal examination suggested that the adnexa might also be affected. My last menstrual period was on November 16, and I had another one on November 30. This time, the flow was light and dark red. Is it menopause or a pathological change? I would like to ask the expert if I should have surgery immediately. Thank you!
Current general condition: A slight chill in the lower abdomen.
Doctor's answer:
If it is a hysterectomy for uterine fibroids, there are two methods: one is open surgery, and the other is laparoscopic surgery (minimally invasive). The procedure takes about 2 hours. The former costs around 7,000 yuan, and the latter costs about 10,000 yuan (based on the level of our hospital). It is relatively difficult to locate and remove fibroids smaller than 1 cm that are located between the muscle layers of the uterus, so the surgery may not be completely clean. Additionally, uterine fibroids are prone to recurrence, so regular follow-up is necessary after the surgery.If there are multiple fibroids or the fibroids are large and the patient has no desire for fertility, a hysterectomy can be performed. There will be no recurrence after the surgery, and the price is the same as above.
It is recommended that patients with fibroids smaller than 5 cm or who are near menopause and have mild symptoms undergo conservative treatment with regular follow-up.