Are uterine fibroids likely to recur?

Written by Sun Shan Shan
Obstetrics and Gynecology
Updated on September 18, 2024
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Firstly, uterine fibroids are prone to recurrence in women of childbearing age. The main cause of uterine fibroids is usually an excessively high level of estrogen in the body, along with an uneven distribution of estrogen levels, which leads to the development of fibroids. Once a woman is of childbearing age and has regular menstrual cycles, uterine fibroids tend to recur. If uterine fibroids occur, it is necessary to go to the hospital for a color ultrasound examination to check the location of the fibroids. Uterine fibroids can be categorized into cervical fibroids and corpus fibroids. If cervical fibroids are found, timely surgical treatment is required because they become more difficult to treat and more prone to bleeding as they grow larger. Additionally, for corpus fibroids, it depends on whether they are intramural or submucosal. If submucosal uterine fibroids are present, they also require timely surgical intervention due to the risk of prolonged bleeding and potential anemia.

Other Voices

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Can uterine fibroids eat eggs?

Uterine fibroids and eating eggs are completely unrelated; you can eat eggs whether you have uterine fibroids or not. The main concern is whether you have an allergy to eggs, and also whether you have any kidney function issues or similar problems. Eggs are a very nutritious food and can certainly be eaten, but it is recommended not to exceed three eggs per day, generally one or two is sufficient. When eating eggs, just like at other times, avoid eating them cold. Additionally, it's important to regularly conduct follow-up checks for uterine fibroids and decide on treatment based on the findings and symptoms of the fibroid examination.

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Written by Liu Jian Wei
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Does uterine fibroids require the removal of the uterus?

Whether a hysterectomy is needed for uterine fibroids depends on the specific circumstances of the patient. If the fibroids are large and numerous, making the preservation of the uterus unnecessary, then a hysterectomy can be considered. Additionally, the decision should take into account the patient's age, reproductive desires, and personal preference. If the patient is older, has no desire for children, and wishes to have a hysterectomy, then it is feasible to remove the uterus under these circumstances. However, if the patient's condition does not mandate the removal of the uterus, the decision should be made in conjunction with the patient's wishes.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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How to treat uterine fibroids?

Uterine fibroids are the most common benign tumors of the female reproductive organs, consisting of smooth muscle and connective tissue, mostly seen in women aged 30-50. Uterine fibroids can be classified into fibroids of the uterine body and cervical fibroids. Depending on their location, the treatments differ. Fibroids of the uterine body are further divided into intramural fibroids, subserosal fibroids, and submucosal fibroids. In cases of submucosal fibroids, prompt symptomatic treatment is necessary once detected, as these fibroids grow towards the uterine cavity and protrude into it, covered only by the endometrium on the surface. Hence, timely surgical intervention and regular physical examinations are crucial for submucosal fibroids.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How can uterine fibroids be reduced?

Uterine fibroids in women are closely related to the levels of estrogen in the body. Some women have relatively small uterine fibroids with no clinical symptoms and can be observed dynamically. Generally, after menopause, when the levels of estrogen decrease, the size of uterine fibroids in these women can naturally shrink. Additionally, certain medications can be used for treatment, such as drugs from the GnRH-a class, which act by causing ovarian ablation. This leads to a decrease in estrogen levels in the body and can also reduce the size of the uterine fibroids. Interventional treatments can also be employed to block the blood supply to the uterine fibroids, reducing their blood supply and consequently decreasing their size.

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Written by Shen Li Wen
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Early symptoms of uterine fibroid malignancy

Uterine fibroids are a type of benign lesion and generally grow slowly. Sometimes, even after several years of continuous re-examinations, the size of the uterine fibroids may not show significant changes. However, when uterine fibroids become malignant, their growth rate can accelerate, causing women to experience hidden pain in the lower abdomen. After the malignancy of uterine fibroids and an increase in size, they can also compress the pelvic floor nerves, leading to an intensification of abdominal pain; they can press forward against the bladder, causing frequent urination and urgency; and press backward against the rectum, resulting in changes in the characteristics of stools. Additionally, when some women's uterine fibroids turn malignant, they can also affect the surface area of the endometrium, impacting the menstrual cycle, such as causing irregular vaginal bleeding.