Patient's question:
I am 30 years old. An ultrasound examination revealed multiple uterine fibroids, the largest measuring 2.0 cm. Could you please explain how uterine fibroids are caused, what precautions should be taken, and what conditions they may develop into? I also have two cervical cysts. What should I do about them? Will they disappear? What treatment is recommended?First follow-up question: I had a cesarean section in June 2004, and no uterine fibroids were found at that time. Now multiple fibroids have been discovered, with the largest measuring 2.0 cm. Based on the current size, is this considered rapid growth? What treatment should I consider in my case? Is surgical treatment to remove the fibroids or the entire uterus? Will fibroids grow back after removal? Thank you.
Doctor's answer:
Hello, to date, the etiology of uterine fibroids remains unclear. According to extensive clinical observations and experimental results, fibroids are a type of tumor that depends on estrogen for growth. Clinically, they are common in women of childbearing age, particularly between the ages of 30 and 50, and grow significantly in high estrogen environments, such as during pregnancy or under exogenous high estrogen conditions, while they gradually shrink after menopause. Patients with fibroids often exhibit ovarian congestion, enlargement, and excessive endometrial growth, indicating a correlation with excessive estrogen stimulation. Uterine fibroids have a significant relationship with endocrine disorders. The use of exogenous hormones and clomiphene can lead to the enlargement of fibroids, while inhibiting or reducing sex hormone levels can prevent fibroid growth, shrink them, and improve clinical symptoms.From an organizational perspective, uterine fibroid cells originate from smooth muscle cells in the uterine muscle and blood vessel walls, such as immature myoblasts, though the latter have not yet been clearly defined in histology. The occurrence of human uterine fibroids may stem from the differentiation process of undifferentiated mesenchymal cells into smooth muscle cells. Multiple fibroids may result from the latent, multifocal presence of origin cells within the uterine muscle layer. After reaching sexual maturity, undifferentiated mesenchymal cells and mature smooth muscle cells remaining in the muscle layer undergo continuous proliferation, differentiation, and hypertrophy under the influence of estrogen and progesterone cycles. This process repeats over a long period, ultimately forming a tumor.
If cervical cysts are small, they can be treated with medication or left untreated. If they grow significantly to a certain extent, surgical removal can be performed.