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 about 2 months pregnant. 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 take medication or have surgery? If surgery is necessary, can I have a laparoscopic procedure to preserve the uterus, or should I undergo a total hysterectomy?
Doctor's answer:
Hello, based on the current situation, since the fibroid is growing rapidly, it is recommended to go to the hospital and undergo surgical treatment under the guidance of clinical doctors. Indications for uterine fibroid surgery:1. Uterine fibroids cause significant bleeding, or prolonged excessive menstrual flow and prolonged menstrual periods leading to anemia, which cannot be cured with medication. In this case, surgical removal is an effective solution.
2. Uterine fibroids grow to the size of a fist, causing compression of other organs in the pelvis. Surgical removal can alleviate symptoms, and larger fibroids have a higher risk of malignancy compared to smaller ones.
3. The fibroid grows too quickly, or after menopause, the fibroid does not shrink but instead enlarges.
4. Women who are infertile but have normal results from all other tests may have uterine fibroids as the cause of infertility. Uterine fibroids may also cause habitual abortion.