Patient's question:
Expert, hello!I would like to consult you. Recently, a physical examination revealed multiple uterine fibroids, the largest measuring 46MM46MM42MM. At the same time, there are gallstones measuring 18MM15MM. The gynecologist has recommended surgery. Currently, the gallstones show no symptoms, while the uterine fibroids only cause a sense of abdominal distension in the early stages. Should I have the gallstones removed first, and if there are no symptoms, lose the gallbladder, which always leaves me feeling somewhat lost? Or should I have the fibroids removed first? I’ve heard that if I do the gallstones later, there may be abdominal adhesions and risks. Please help analyze which should be done first. Thank you!
Doctor's answer:
It is recommended that you can first consider surgical treatment for gallstones. If uterine fibroids cause vaginal bleeding and symptomatic discomfort, surgical removal can be performed for treatment. If there is no discomfort, it is advisable to monitor the condition promptly. That is to say, timely observation is recommended, and if there is no short-term enlargement causing discomfort, treatment may not be necessary. The occurrence of uterine fibroids not only affects women's health but also leads to the development of gynecological diseases. Therefore, it is best to undergo a vaginal discharge examination at the gynecology department of a hospital to identify the cause and receive symptomatic treatment. Additionally, pay close attention to personal hygiene and maintain cleanliness in the perineal area.