Patient's question:
What kind of help do you want to get in the same way: May I ask, at the age of 45, should I adopt conservative treatment or do I need surgery? ?? Thank youDoctor's answer:
Patients with uterine fibroids, the age for removal of uterine adnexa, was previously defined as 45 years and older. Now, it is necessary to proceed from actual conditions, especially in light of the advancements in gynecological endocrinology, the preservation age of ovaries is generally set at 50 years (the average age of menopause is 49.5 years), meaning that those under 50 should have their ovaries preserved if possible. Alternatively, normal ovaries in women who have not yet gone through menopause after the age of 50 should also be preserved, without setting an age limit. This is because, after normal menopause, ovaries still retain certain endocrine functions and continue to work for 5 to 10 years. Preserving ovaries helps stabilize the vegetative nervous system, regulate metabolism, and facilitates a smoother transition into old age. The uterus also has endocrine functions and is a target organ for the ovaries, so it should not be removed arbitrarily. The age for hysterectomy is typically set at 45 years and older, while women under 45, especially those under 40, are more suitable for myomectomy. For those who choose to preserve adnexa, if both ovaries can be preserved, it is better to preserve both rather than just one. The incidence of ovarian cancer in preserved ovaries is 0.15%, which is not higher than in women who have had a hysterectomy.