Patient's question:
What measures should be taken to treat a 3cm mucosal fibroid? Duration and persistence of this condition: Since February of this year.Doctor's answer:
Treatment of uterine fibroids should be comprehensive, considering factors such as the patient's age, fertility requirements, symptoms, and the location, size, and number of fibroids to achieve individualized treatment. Small, asymptomatic uterine fibroids generally do not require treatment, especially in postmenopausal women. After menopause, uterine fibroids often shrink gradually and may even disappear. Follow-up every 3-6 months is recommended.Surgery remains the most common treatment for uterine fibroids, primarily divided into hysterectomy and myomectomy. Indications for surgery include:
① Anemia caused by multiple fibroids that does not respond to medication;
② Severe abdominal pain, dyspareunia, or chronic abdominal pain caused by pedunculated fibroid torsion, leading to acute abdominal pain;
③ Symptoms of bladder or rectal compression;
④ Cases where fibroids are confirmed as the sole cause of infertility or recurrent miscarriage;
⑤ Rapidly growing fibroids suspected of malignancy;
⑥ Uterine size larger than 10 weeks of pregnancy due to fibroids.
Surgery can be performed via abdominal, vaginal, hysteroscopic, or laparoscopic approaches.