Patient's question:
Detailed medical history and consultation purpose: During a health check-up in June 2014, ultrasound diagnosis indicated signs of fibroids; in June 2015, another health check-up showed multiple fibroids, with the largest one measuring 2.8 cm. Question: Are there non-surgical treatment methods for fibroids, and how effective are they?Current general condition: Usually no obvious symptoms, sometimes menstrual blood clots, and the doctor suggested it might be related to fibroids.
Doctor's answer:
Hello: Western Medicine Treatment for Uterine Fibroids:1. Androgen Therapy: For patients with heavy menstrual bleeding and a uterus size comparable to that of an 8-week pregnancy, and after ruling out endometrial cancer, androgen therapy can be considered.
2. Myomectomy with Uterine Preservation: Suitable for young patients who wish to conceive and have patent fallopian tubes.
3. Hysterectomy: For patients with large fibroids or excessive menstrual bleeding who do not desire further fertility, a total hysterectomy may be performed. However, these treatments often come with significant 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. Early ovarian failure and reduced estrogen levels due to the removal of the uterus lead to higher risks of adverse effects such as obesity, hypertension, heart disease, and osteoporosis.