Patient's question:
Uterine fibroid surgery---I was diagnosed with a fibroid measuring 1018986mm in diameter at the cross-section and a mass of approximately 8484mm last month at a hospital in Shenzhen. I am unmarried. Could I have other surgical options besides open surgery?Miss Hou
Doctor's answer:
Hello:Western Medicine Treatment for Uterine Fibroids:
1. Androgen Therapy: For patients with heavy menstrual bleeding and a uterus size comparable to that of an 8-week pregnancy, and after ruling out endometrial cancer, androgen therapy can be considered.
2. Myomectomy (preserving the uterus), suitable for young patients who wish to have children and have patent fallopian tubes.
3. Hysterectomy (total removal of the uterus), performed for patients with large fibroids or excessive menstrual bleeding who do not desire further fertility. However, these treatments often have more postoperative complications.
A. 34% of women experience ovarian failure and menopausal symptoms within 2 years of surgery.
B. Hysterectomy affects pelvic floor integrity, shortens the vagina, and can impact sexual life.
C. The incidence of cardiovascular diseases increases after hysterectomy. Early ovarian failure and reduced estrogen levels lead to higher rates of cardiovascular issues, as well as adverse effects such as obesity, hypertension, heart disease, and osteoporosis.