Patient's question:
Age: UnmarriedDetailed medical history and consultation purpose: Ultrasound description: The uterus appears normal in cross-section, with dimensions approximately 5.13.94.9. The echo texture is homogeneous. A 1.62.1 cm hypoechoic nodule is observed on the posterior wall of the uterine fundus, with clear boundaries. The endometrial line is central, and no thickening is noted. Ultrasound findings suggest: Hypoechoic nodule on the posterior wall of the uterus (possible fibroid).
Could you please explain what this means? Is it a uterine fibroid? Can I take Guizhi Fulin capsules? Is the nodule a fibroid?
Current general condition: No significant symptoms
Medical history: None, discovered during a routine physical examination at work.
Doctor's answer:
Hello: Uterine fibroids are benign tumors formed by the hyperplasia of uterine smooth muscle tissue. Common symptoms include uterine bleeding, pain, abdominal masses, compression symptoms of adjacent organs, increased leukorrhea, anemia, and cardiac dysfunction, etc. Some patients have no symptoms and are often discovered to have uterine fibroids during routine gynecological examinations. Uterine fibroids are the most common benign gynecological tumors, most commonly occurring in women aged 30-50. Based on the location of the fibroid within the uterine muscle wall, they can be classified as intramural, subserosal, submucosal, or intraligamentous fibroids.Western medical treatment for uterine fibroids:
1. Androgen therapy: For patients with heavy menstrual bleeding and a uterus of about the size of an 8-week 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 conceive and have patent fallopian tubes.
3. Hysterectomy, performed for patients with large fibroids or excessive menstrual bleeding who do not desire further fertility. However, these treatments often come with numerous 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 may impact sexual life.
C. The incidence of cardiovascular diseases increases after hysterectomy, as the early decline of ovarian function and reduced estrogen levels lead to adverse effects such as obesity, hypertension, heart disease, and osteoporosis.
Dietary considerations for patients with uterine fibroids:
1. Maintain a light diet and avoid foods that may exacerbate symptoms, such as mutton, shrimp, crabs, eel, salted fish, and black fish.
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