How to manage uterine fibroids

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on March 09, 2025
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The occurrence and development of uterine fibroids are mainly related to congenital factors and have little to do with postnatal lifestyle conditions. Therefore, when uterine fibroids are detected, there is no need for any specific conditioning. Various traditional Chinese medicines, herbal treatments, or hormonal drugs do not have a definite curative effect on uterine fibroids, and so far, there is no specific medication for the treatment of uterine fibroids. When uterine fibroids are detected, the main considerations are whether they cause symptoms such as excessive bleeding, anemia, or whether they are increasing in size and causing compression symptoms on the surrounding tissues. Uterine fibroids without any symptoms generally only require regular physical examinations and may shrink and disappear after menopause.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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How long does uterine fibroid surgery take?

Firstly, there are several types of surgeries for uterine fibroids, so the duration of the surgery depends on the size of the fibroids, the surgical method, and the type of anesthesia used. If the surgery is an open surgery for simply removing benign uterine fibroids, the operation, including the time for anesthesia, generally takes about two hours, which is not very long. If the surgery is done laparoscopically under general anesthesia, it may take a longer time, and it takes some time for the patient to recover from anesthesia post-surgery. If the uterine tumor is malignant, then the surgery might require rapid pathological examination and the removal of other areas, leading to a more extended surgery time which can vary significantly.

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Written by Shen Li Wen
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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 Wang Jing Hua
Obstetrics and Gynecology
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Can uterine fibroids eat bird's nest?

People with uterine fibroids can eat bird's nest, but consuming bird's nest has no effect on uterine fibroids; it neither treats nor impacts the fibroids, whether benignly or malignantly. Uterine fibroids are mainly related to congenital factors and the level of estrogen; they are estrogen-dependent diseases. It is only necessary to avoid taking estrogen-like drugs on one's own. Most uterine fibroids can be managed with regular check-ups, and generally, if there are no symptoms, surgery is not required. Most fibroids will disappear after menopause naturally. (The use of medication should be under the guidance of a professional doctor.)

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Written by Shen Li Wen
Obstetrics and Gynecology
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How is uterine fibroid surgery performed?

When a woman has uterine fibroids, the surgical method should be decided based on the specific location, size, number of fibroids, age, and fertility requirements. If the uterine fibroid is relatively large, pretreatment can typically be carried out before the surgery. For example, using GNRHA-type drugs can reduce the size of uterine fibroids and lower the risk of surgery. Submucosal fibroids can be treated with hysteroscopic electroresection. Intramural or subserosal fibroids can be removed via laparoscopic surgery.

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Written by Yan Qiao
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Post-surgical diet for uterine fibroids

Before passing gas after a myomectomy, we must avoid foods that produce gas, such as milk and soy milk, and only consume small amounts of water and clear soup. Once the patient has passed gas, they can be advised to eat easily digestible foods, such as congee and noodles. After the patient has had a bowel movement, they can resume a normal diet, but it should be light and avoid irritating foods, such as those high in oil, salt, and spices, as well as some stimulating beverages. After discharge, it is recommended that the patient eat more vegetables and high-fiber fruits, and avoid gas-producing foods, which typically include legumes, sweet potatoes, potatoes, and so on.