What to do if you have uterine fibroids

Uterine fibroids can be treated through regular follow-up, drug treatment, interventional treatment, surgical treatment, and traditional Chinese medicine conditioning. Uterine fibroids are usually caused by abnormal hormone levels, genetic factors, inflammatory stimulation, imbalance of cell proliferation, abnormal angiogenesis, etc.

1. Regular follow-up visits

For small, asymptomatic uterine fibroids, gynecological ultrasound is recommended every 6-12 months to monitor changes. During the follow-up period, it is necessary to observe the menstrual flow, degree of dysmenorrhea and symptoms of compression, and avoid taking estrogen-containing health products or drugs. If symptoms such as prolonged menstruation, anemia, or frequent urination occur, follow-up consultation is required in a timely manner.

2. Drug treatment

Mifepristone tablets can inhibit progesterone receptors and reduce the size of uterine fibroids； Guizhi Fuling Capsules can activate blood circulation and remove blood stasis, and improve the symptoms of heavy menstrual flow. ； Gonadotropin-releasing hormone analogs such as leuprolide injection can temporarily lower estrogen levels. Medication is suitable for patients who wish to preserve their fertility or are approaching menopause and should be used under the guidance of a doctor.

3. Interventional treatment

Uterine artery embolization blocks the blood supply of fibroids to cause necrosis and shrinkage, with less trauma and faster recovery. Focused ultrasound ablation uses ultrasonic waves to precisely heat and destroy fibroid tissue, and is suitable for intramural fibroids with a diameter of less than 5 cm. Both methods can preserve the uterus, but post-operative reactions such as vaginal discharge or brief fever may occur.

4. Surgical treatment

Myomectomy is suitable for patients who want to have children and can be done laparoscopically or through open surgery.； Hysterectomy is performed when there are multiple fibroids, severe symptoms, or suspected malignant transformation. Cardiopulmonary function needs to be assessed before surgery, and adhesions need to be prevented and pelvic floor muscle exercises need to be strengthened after surgery.

5. Traditional Chinese Medicine conditioning

The type of qi stagnation and blood stasis can be treated with Xuefu Zhuyu Decoction, while the type of damp-heat stasis is suitable for Guizhi Fuling Pills combined with acupuncture. Moxibustion on Guanyuan, uterus and other acupoints can improve local blood circulation, and pressing beans on the ear acupoints can regulate endocrine function. The treatment cycle of traditional Chinese medicine is long, and it needs to be coordinated with emotional adjustment and dietary taboos.

Patients with uterine fibroids should maintain a regular schedule and avoid staying up late and being stressed. In the diet, reduce the intake of high-estrogen foods such as red meat and animal offal, and increase the amount of phytoestrogen regulators such as broccoli and soy products. Record the menstrual cycle and symptom changes every month, and do moderate exercises such as yoga and brisk walking to enhance your physical fitness, but avoid strenuous exercise that may cause fibroid reversal. If you have abnormal vaginal bleeding or severe pain in your lower abdomen, you should seek medical attention immediately.