Patient's question:
Detailed medical condition and consultation purpose: What should I do about a 3mm uterine fibroid found during a physical examination? Is it serious? What treatment is best? I just got married, will this condition affect my sex life? What should I do in daily life? I'm very scared, please help me, doctor!!!Medical history: I have always been healthy.
Doctor's answer:
Hello: The treatment plan is determined based on the patient's age, fertility requirements, size of the fibroid, presence of symptoms, and the rate of fibroid growth.I. Follow-up Observation: For patients with small fibroids (〈3 months of pregnancy size) and no symptoms, regular follow-up examinations are recommended, especially for those nearing menopause, as fibroids often shrink after menopause.
II. Surgical Treatment:
(1) Hysterectomy: Suitable for patients with fibroids larger than 3 months of pregnancy size, or those with significant symptoms despite small fibroids, or those with rapid growth that cannot rule out malignancy.
(2) Myomectomy: Suitable for patients under 35, unmarried, or childless.
III. Medication Treatment: Used for small fibroids with mild symptoms, patients nearing menopause, or those who cannot tolerate surgery due to overall health conditions.
(1) Methyltestosterone, Testosterone Propionate;
(2) Progestins.
① Norethisterone: For patients who wish to conceive.
② Medroxyprogesterone, Megestrol, or Norethisterone: Choose one.
③ Luteinizing Hormone-Releasing Hormone Analogues.
The dosage and usage of these medications must follow medical advice.
Prevention:
Patients with uterine fibroids should undergo regular examinations, such as a B or gynecological check-up every 3–6 months. Older women with rapidly enlarging fibroids in a short period or postmenopausal vaginal bleeding should be vigilant about sarcomatous transformation. Patients with excessive menstrual bleeding should actively correct anemia to prevent anemia-related heart disease and myocardial degenerative changes.