How large are fibroids that require surgery? Uterine fibroids are usually more than 5cm and require surgery. Treatments for fibroids include myomectomy and hysterectomy.
How big are fibroids that need surgery
How big are fibroids that need surgery varies from person to person, but in general, fibroids more than 5cm indicate a more serious condition and need to be removed surgically. If the fibroid is below 5cm, medication can be taken to control the growth of the fibroid. Asymptomatic fibroids do not require treatment. Individual fibroids can be surgically removed. If the fibroids are multiple and the patient is infertile, a hysterectomy is recommended to prevent the fibroids from growing back. The treatment of fibroid needs to be determined according to the individual's age, clinical manifestation and endocrine condition. It is recommended to go to a professional hospital for examination, under the guidance of the doctor to clarify the treatment plan.
Indications for Surgery of Uterine Fibroids
Uterine fibroids are sex hormone-dependent tumors, mostly seen in middle-aged women. With the decrease of estrogen in the body after menopause, fibroids will naturally shrink and become smaller, and a few of them even disappear, with a low rate of malignancy and slow growth. Asymptomatic leiomyoma has no effect on menstruation, fertility and health, so some patients do not need treatment. Only in the following cases should be given surgical treatment:
1, the size of the fibroid is large, the uterus is more than 10 weeks pregnant size, or the diameter of a single fibroid >6cm.
2, the size of the uterine fibroids is not large, but the appearance of symptoms, such as menstruation, anemia, frequent urination, constipation or bowel movement difficulties, and so on.
3. Fertility is affected by uterine fibroids.
4. Uterine fibroids grow rapidly, and the possibility of malignancy cannot be excluded.
5. Uterine fibroids cannot be distinguished from ovarian tumors.
6. Fibroid tumors increase rather than decrease after menopause, or newly discovered fibroid tumors (in patients not given estrogen replacement therapy).
Surgery for Uterine Fibroids
Surgery is currently considered to be the most effective, reliable and simple treatment. Surgical treatments can be total uterine excision, myomectomy, and subtotal uterine excision, and there are different surgical procedures for each type of surgery.
1. There are three types of total uterine excision: through vaginal excision (vaginal), through abdominal excision (abdominal), and laparoscopic excision (laparoscopic).
2. There are also three types of subtotal uterine resection: vaginal, abdominal and laparoscopic.
3. Fibroid removal can also be performed in four types: negative, abdominal, laparoscopic, and hysteroscopic.
The choice of these surgical methods is based on a comprehensive analysis of the patient's age, the need to preserve fertility, the size, location and number of fibroids, and the patient's wishes.
Precautions after surgery for uterine fibroids
1, after surgery for uterine fibroids, the patient should be bedridden for two to three days, and should pay attention to the amplitude of the movement when turning over to avoid wound cracking, and pain relieving medication should be given to those who suffer from pain after surgery.
2, pay attention to the exhaust situation, to prevent the occurrence of intestinal adhesion. After the patient's bowel sound is normal, he can eat fluids, and then resume normal diet after the intestinal recovery, the diet should be light, and try to avoid fried, smoked and spicy stimulating diet.
3, the patient three months after surgery can not horseback riding, cycling, strenuous dance, sedentary and driving, so as to avoid pelvic congestion, is not conducive to recovery.
4, patients need to keep the surgical wound clean and dry, if accidentally wet the wound, use a clean towel to wipe dry, and replace the paper tape. Scar care after uterine fibroid surgery needs to last 3-6 months.
5. Do not perform vaginal irrigation within six weeks after surgery to prevent retrograde infection.
Uterine fibroid surgery cost
Uterine fibroids generally do not need surgical treatment, the cost of surgical treatment is relatively high, uterine fibroid surgery open treatment cost is generally in the range of 4,000-6,000 yuan, different areas of different hospitals have different charges, the patient can consult the local hospital specifics.
What kind of medicine is good for uterine fibroids
Medication, applicable to patients with uterine fibroids who have mild symptoms, are near menopausal age, or whose systemic condition is not suitable for surgery.
① Gonadotropin-releasing hormone analogs: inhibit hormone secretion and reduce estrogen to postmenopausal levels to relieve symptoms and inhibit the growth of fibroids to make them shrink. Commonly used drugs are leuprolide 3.75mg each time, or goserelin 3.6mg each time.
② Other drugs: mifepristone, 12.5mg per day orally, can be used as a preoperative drug or early menopause.
Chinese medicine treatment of uterine fibroids
Chinese medicine treatment of uterine fibroids is a safer and more effective method, usually to do a good job of eliminating tumors at the same time to stop bleeding, stopping bleeding at the same time to eliminate tumors, and to do a good job of both to regulate the function of the ovaries. Chinese medicine treatment of uterine fibroids should not be too aggressive in the use of drugs, so as not to damage the vital energy. Therefore, Chinese medicine treatment of uterine fibroids mainly focuses on activating blood circulation and removing blockage, dispersing knot and eliminating symptoms, supplemented by regulating qi and promoting stagnation, and supporting uprightness and consolidation of fundamentals, so as to achieve hemostasis, elimination of tumors, and restoration of vital energy. Chinese medicine treatment of uterine fibroids are:
1, activating blood and removing silt to treat uterine fibroids: when the patient bleeds a lot or dribbles, the color is dull red, blood clots, abdominal pain, the tongue is pale and purple, the pulse is stringy or dull and stringy, the evidence of silt and blood blockage, the blood does not return to the menstruation.
2, purging heat and cooling blood to treat uterine fibroids: this method for bleeding, prolonged collapse and leakage, the color is dull red, accompanied by blood clots, bitter mouth and dry mouth, like to drink, moss is yellow, the pulse is thin and slippery number of symptoms. It should be proved that the blood is silted and transformed into heat, and the blood is forced to move.
3, benefit qi and blood ingestion treatment of uterine fibroids: women with prolonged menstrual period, bleeding, no blood clots, and accompanied by lumbar pain, feeling of falling in the abdomen, pale tongue, thin white moss, thin pulse, evidence of qi deficiency with silt.
4, warming menstruation and dispersing knots to treat uterine fibroids: where cold condensation and blood stasis or cold, it is advisable to warm menstruation and expel stasis, soften the firmness and disperse the knots.
5, cooling blood and dispersing knots treatment of uterine fibroids: where heat stagnation and blood stagnation, or prolonged stagnation and heat, or vegetative heat, it is appropriate to cool the blood and expel stagnation, and soften the hardness and disperse the knots.
6. Supporting and strengthening the root cause of uterine fibroids: for those who are anemic due to excessive bleeding, it is suitable to support and strengthen the root cause of uterine fibroids. At the same time of eliminating the tumor, it should be supplemented with tonifying qi and blood.
Other treatments for uterine fibroids
1, uterine artery embolization: by blocking the uterine arteries and their branches, the blood supply to the fibroids can be reduced, which can slow down the growth of the fibroids and relieve the symptoms. However, this method may cause ovarian hypoplasia and increase the risk of potential pregnancy complications, and is generally not recommended for women with fertility requirements.
2, hysteroscopic endometrial resection: suitable for heavy menstrual flow, no fertility requirements but want to retain the uterus or can not tolerate hysterectomy patients.