Patient's question:
Just found uterine fibroids: 7.06.6 during the physical examination ultrasound.Location: Anterior wall of the uterus near the cervix, a medium-low echo mass was detected.
I am 35 years old and planning to have a child. I have never been pregnant or had a miscarriage before.
Could you please ask the experts if surgical treatment is necessary? How long should I wait after the surgery before trying to conceive?
Thank you
LTLXD
Doctor's answer:
Hello: According to the situation you mentioned, it is best to actively pursue surgical treatment! You can also try medication first for the Western medical treatment of 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 have children and have patent fallopian tubes.
3. Hysterectomy, for patients with larger fibroids or excessive menstrual bleeding who do not have further fertility requirements. However, there are many postoperative complications with these treatments.
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 reduced estrogen levels lead to an increased risk of cardiovascular diseases, and patients may experience adverse reactions such as obesity, hypertension, heart disease, and osteoporosis.