Patient's question:
Patient Gender: Wang YanPatient Age: I am 28 years old, married, and have children. The child is 5 years old.
Detailed Medical Condition and Purpose of Consultation: Uterine fibroids
Previous Diagnoses, Treatments, and Outcomes: The uterine fibroid was discovered 2 years ago. Initially, the fibroid was only 0.5 cm in size, and the doctor said it didn't require treatment.
In March 2005, a follow-up examination revealed the fibroid had grown to 3 cm. After taking 3 boxes of Gui Zhi Fu Ling Jiao Nang (Cinnamon Twig and Bupleurum Decoction) for one course of treatment, the doctor recommended a follow-up in half a year. If the fibroid grew to a certain size, surgery would be necessary.
Doctor's answer:
Hello; You can try conservative treatment first, and surgery may be necessary if needed. Western medicine treatment for uterine fibroids:1. Androgen therapy: For patients with heavy menstrual bleeding and a uterus the size of about 8 weeks of pregnancy, and after ruling out endometrial cancer, androgen therapy can be used.
2. Myomectomy, preserving the uterus, is suitable for young patients who wish to have children and have normal fallopian tubes.
3. Hysterectomy, for patients with larger fibroids or heavy menstrual bleeding who do not have further fertility needs, a total hysterectomy is performed. However, there are many postoperative complications.
A. 34% of women experience ovarian failure and menopausal symptoms within 2 years after surgery.
B. Hysterectomy affects the integrity of the pelvic floor, shortens the vagina, and has a certain impact on sexual life.
C. The incidence of cardiovascular diseases increases. After hysterectomy, early ovarian failure and decreased estrogen levels lead to an increased incidence of cardiovascular diseases, and patients are prone to adverse reactions such as obesity, hypertension, heart disease, and osteoporosis.