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The article was professionally consulted by Dr. Nguyen Van Thanh - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Nha Trang International HospitalUterine fibroids are medically known as uterine leiomyomas. Women usually develop fibroids between the ages of 30 and 45. This type of tumor is influenced by the hormone estrogen. Uterine fibroids often increase in size during pregnancy due to pregnancy hormones and often shrink after birth.
1. Do benign uterine fibroids shrink on their own?
Most cases are benign uterine fibroids, with no symptoms. The disease was discovered by chance during gynecological examination. Benign uterine fibroids are usually followed up every 3 to 6 months and do not require surgery. Uterine fibroids during pregnancy and birth are often not removed, but only monitored after birth.Uterine fibroids often shrink and do not grow during perimenopause and menopause. This is explained by the fact that this is a hormone-influenced tumor, so when estrogen is high, fibroids often get bigger and when estrogen drops (menopause) they will gradually shrink.
U xơ tử cung thường teo nhỏ lại và không phát triển khi vào tuổi tiền mãn kinh và mãn kinh
2. In which cases do uterine fibroids need surgery?
About 20-50% of patients with uterine fibroids have abnormal manifestations that require surgery. Indications for surgery for uterine fibroids when there are 1 of the following factors:● When the fibroids grow fast and are large in size, causing the uterus to be as big as ≥ 12 weeks' gestation (fibroid size > 6cm) and accompanied by symptoms of uterine fibroids with bleeding such as: hypermenorrhoea, menorrhagia, anemia causing anemia...
Fibroids < 5cm but located under the mucosa causing trouble menstrual disorders
Fibroids located at the waist or in the wide ligaments causing compression of the ureters, hydronephrosis
Fibroids with other gynecological diseases such as endometrial hyperplasia, genital prolapse ...
Fibroids with organic ovarian tumors .
Indications for surgery for uterine fibroids during pregnancy or childbirth if:
Uterine fibroids have necrotic or infectious complications
Uterine fibroids are located at the uterine muscle incision during cesarean section
● Fibroids that block the drainage passageway
● Submucosal fibroids (intrusion into the uterine lumen, risk of bleeding).
3. Effects of uterine fibroids in pregnancy
Depending on the location and size of fibroids, not all fields will have an effect on pregnancy, but pregnant women should have regular antenatal check-ups to detect abnormalities caused by fibroids early:
Risk miscarriage, premature birth, premature rupture of membranes.
● Cause each other to be a striker, to stick to each other, to abort each other.
● Risk of difficult birth due to abnormal fetal position
● Fibroids obstruct the delivery or cause uterine contractions disorder, prone to postpartum haemorrhage.
● Postpartum period can stop the epidemic, infection.
● Fetal growth retardation in the uterus due to the blood must feed the fetus and nourish the fibroids.
4. Laparoscopic surgery to remove uterine fibroids
Phẫu thuật nội soi bóc u xơ tử cung tại Bệnh viện Đa khoa Quốc tế Vinmec Nha Trang là kỹ thuật có tỉ lệ thành công trên 95%
This is a safe method and minimizes the risk of complications, surgical infection, pain relief, less blood loss, faster recovery and reduced hospital stay, plus surgical scars less. In particular, this technique at Vinmec Nha Trang is performed by a team of good, experienced and highly trained doctors in the field of obstetrics and gynecology at home and abroad:
Customers need advice and support About laparoscopic technique to remove uterine fibroids at Vinmec Nha Trang, you can contact HOTLINE 0258 3900 168.
