How to treat multiple uterine fibroids

Multiple uterine fibroids can be treated with medication, surgery and other methods. Multiple uterine fibroids may be related to genetic factors, abnormal hormone levels, inflammatory stimulation and other factors. They usually present with symptoms such as increased menstrual flow, prolonged menstruation, and lower abdominal distension.

1. Drug treatment

Patients with multiple uterine fibroids can use mifepristone tablets, Guizhi Fuling capsules, leuprolide injection and other drugs under the guidance of a doctor. Mifepristone tablets can inhibit progesterone receptors and reduce the size of fibroids. Guizhi Fuling capsule has the effect of promoting blood circulation and removing blood stasis, which can help relieve symptoms. Lupron injection controls fibroid growth by reducing estrogen levels. Drug treatment is suitable for those with small fibroids or mild symptoms, and regular review is required to evaluate the efficacy.

2. Surgical treatment

Myomectomy is performed in patients who wish to preserve their fertility and involves the removal of fibroids through laparoscopic or open surgery. Hysterectomy is suitable for patients who have no desire to have children or have large fibroids, and can be done vaginally or laparoscopically. The surgical method needs to be selected based on factors such as the size, number, location and age of the patient. Postoperative care should be taken to prevent infection and be reviewed regularly.

3. Interventional treatment

Uterine artery embolization blocks the blood supply of fibroids to shrink them, and is suitable for those who cannot tolerate surgery. This treatment is less invasive but may cause ovarian hypofunction, so it should be chosen with caution. Post-embolization syndrome such as fever and pain may occur after surgery, which usually resolves in 1-2 weeks.

4. Focused ultrasound therapy

High-intensity focused ultrasound uses ultrasound waves to precisely ablate fibroid tissue without the need for surgery. Treatment is short and recovery is quick, but multiple treatments may be needed. It is suitable for intramural fibroids with a diameter of less than 5 cm. After treatment, follow-up is required to observe the efficacy.

5. Traditional Chinese Medicine conditioning

Traditional Chinese medicine believes that uterine fibroids are mostly caused by qi stagnation and blood stasis, and prescriptions such as Xuefu Zhuyu Decoction and Shaofu Zhuyu Decoction can be used for syndrome differentiation. Acupuncture uses acupuncture points such as Guanyuan, Uterus, and Sanyinjiao to regulate Qi and blood. It is necessary to coordinate with dietary adjustments, avoid raw, cold and spicy foods, and maintain a comfortable mood.

Patients with multiple uterine fibroids should maintain a regular schedule and avoid overexertion. The diet should be light, with an appropriate amount of high-quality protein and vitamins, and limit the intake of high-fat foods. Moderate exercise such as walking and yoga can help promote blood circulation. Monitor changes in fibroids through regular gynecological examinations. If abnormal bleeding or pain worsens, seek medical attention promptly. During treatment, strictly follow the doctor's instructions and do not adjust the dosage or interrupt treatment on your own.