What should I do about uterine fibroids?

Written by Sun Shan Shan
Obstetrics and Gynecology
Updated on September 15, 2024
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Uterine fibroids first require examining the location and size of the fibroids. Uterine fibroids can be classified into subserosal fibroids, submucosal fibroids, and intramural fibroids. If it is a submucosal fibroid, no matter the size of the fibroid, it is necessary to promptly perform a hysteroscopic submucosal fibroid surgery. If the submucosal fibroid is large, it may be necessary to perform a hysterectomy through abdominal surgery. For intramural and subserosal fibroids, if the fibroid's diameter exceeds five centimeters or if the fibroid is growing rapidly, surgical treatment is recommended at that time, because there is a chance of malignant transformation in uterine fibroids, which ranges from 0.2% to 0.3%. Therefore, once such a situation occurs, surgical treatment is required.

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Can uterine fibroids be inherited?

Uterine fibroids are common benign tumors clinically, with a prevalence rate of 20%-40% among women, approximately 20% of which are hereditary. Most tumors do not show clear clinical symptoms, so patients need not worry too much even after the tumors develop. However, some patients may experience increased menstrual flow, prolonged menstrual cycles, or even symptoms such as anemia, abdominal pain, and bloating. In such cases, surgical removal may be considered, which is a routine procedure in clinical settings, so patients should not be overly concerned.

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How to recuperate from uterine fibroids?

Uterine fibroids are the most common benign tumors of the female reproductive organs, composed of smooth muscle and connective tissue. Treatment varies depending on the patient's age, childbearing requirements, presence of symptoms, location and size of the fibroids, and their number. For asymptomatic fibroids, treatment is generally not necessary, especially for women nearing menopause. After menopause, fibroids often shrink or gradually disappear. In such cases, it is recommended to follow up every three to six months, or consider pharmaceutical treatment. Medication is suitable for those with mild symptoms, near menopausal age, or those who are not suitable for surgery. If there are complications such as heavy menstrual bleeding, resulting anemia, ineffective drug treatment, severe abdominal pain, or conditions like fibroid torsion or acute abdomen, surgical treatment is recommended.

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Does uterine fibroids cause high CRP?

Normal uterine fibroids do not cause an increase in CRP. CRP is an indicator of systemic inflammatory response. Only when a patient experiences infection, rupture, or acute systemic inflammatory reactions will it cause a rise in tumor markers. Uterine fibroids often do not exhibit these symptoms; therefore, most cases will not show an increase in CRP. However, in some patients, infection or rupture, and even malignancy, can lead to an increase in these indicators. Patients should undergo relevant imaging studies to assess the size and location of the uterine fibroids, as well as the presence of uterine bleeding.

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What should I do about uterine fibroids?

Uterine fibroids first require examining the location and size of the fibroids. Uterine fibroids can be classified into subserosal fibroids, submucosal fibroids, and intramural fibroids. If it is a submucosal fibroid, no matter the size of the fibroid, it is necessary to promptly perform a hysteroscopic submucosal fibroid surgery. If the submucosal fibroid is large, it may be necessary to perform a hysterectomy through abdominal surgery. For intramural and subserosal fibroids, if the fibroid's diameter exceeds five centimeters or if the fibroid is growing rapidly, surgical treatment is recommended at that time, because there is a chance of malignant transformation in uterine fibroids, which ranges from 0.2% to 0.3%. Therefore, once such a situation occurs, surgical treatment is required.

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How often should uterine fibroids be checked?

The follow-up timing after uterine fibroids depends on the current size of the fibroids and the symptoms. If the fibroids are particularly small and there are no symptoms, a follow-up after one year is generally acceptable. However, if during the follow-up the fibroids are found to have grown quickly, or if there are symptoms such as increased menstrual flow or a shortened cycle, a follow-up every six months may be warranted. Most uterine fibroids do not cause any symptoms and simply exist; they tend to grow gradually with age and generally shrink and disappear after menopause.