How to remove 7 cm uterine fibroids

Uterine fibroids up to 7 cm usually require surgical removal. Commonly used methods include laparoscopic myomectomy, transabdominal myomectomy, etc.

Uterine fibroids are benign tumors composed of smooth muscle and connective tissue. When the diameter reaches 7 cm, they may compress pelvic organs and cause symptoms such as increased menstrual flow, anemia, and frequent urination. Laparoscopic surgery is suitable for patients with superficial and small number of fibroids. The operation is completed by inserting instruments through a small incision in the abdominal wall, resulting in less trauma and faster recovery. Transabdominal surgery is suitable for cases with large, multiple fibroids or pelvic adhesions. A longer incision is required in the lower abdomen to completely remove the lesions. High-intensity focused ultrasound therapy is a non-invasive alternative that uses ultrasound waves to precisely ablate fibroid tissue, but may require multiple treatments due to the large size of the fibroids. Uterine artery embolization blocks the blood supply of fibroids to cause them to shrink. It is more suitable for those who want to have children but are temporarily unable to undergo surgery. However, the risk of secondary infection should be paid attention to. Medical treatments such as injectable leuprolide acetate microspheres can temporarily shrink uterine fibroids and create conditions for surgery, but they cannot cure them and they are prone to recurrence after drug withdrawal.

Pelvic B-ultrasound should be reviewed regularly after surgery to monitor recurrence, and heavy lifting and strenuous exercise should be avoided within 3 months after surgery. Keep the perineum clean every day. If abnormal vaginal bleeding or fever occurs, seek medical attention promptly. The diet should be supplemented with high-quality protein and iron, eat lean meat and animal liver in moderation to help correct anemia, and limit the intake of phytoestrogens such as soy products. Moderate aerobic exercise, such as walking, yoga, etc., can be resumed after the doctor's evaluation 6 months after the operation to strengthen the pelvic floor muscles.