Gynecology: What can be used for uterine fibroids? Can hysteroscopy be used?

Patient's question:

Patient Gender: Gynecology: What can be used for uterine fibroids? Can hysteroscopy be performed?
Patient Age:
Detailed Medical Condition and Purpose of Consultation: What can be used for uterine fibroids? Can hysteroscopy be performed?

Doctor's answer:

There are many ways to treat uterine fibroids, but the most common method is still traditional surgical treatment, including total hysterectomy, subtotal hysterectomy, myomectomy, uterine artery embolization, and ultrasound ablation, etc. Surgical approaches include open surgery with large incisions, hysteroscopy, or laparoscopic surgery, etc. Hysterectomy can lead to loss of the uterus, abdominal scars, vaginal dryness, decreased libido, osteoporosis, perimenopausal symptoms, and ovarian failure. It is recommended to choose cautiously. There is a 50% recurrence rate after laparoscopic surgery, and 1/3 of patients may require a second surgery. There is a risk of severe bleeding and damage to surrounding organs during the procedure. Currently, the most ideal treatment for uterine fibroids is non-invasive ultrasound ablation. This method does not require surgery, bleeding, or anesthesia, preserves the uterus, and eliminates surgical and anesthetic risks. It is the most humane treatment option. Of course, each treatment has its own advantages, and the key is to choose the appropriate treatment method. Traditional surgical methods are certainly the most traumatic. Surgery and anesthesia always carry certain risks, and postoperative scars will vary in size.

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