Uterine Fibroids: When Is Surgery Necessary?

This is an automatically translated article.

The article is professionally consulted by Master, Doctor Trinh Thi Thanh Huyen - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital.
Surgery for uterine fibroids will depend on the extent of the effects caused by the symptoms of the disease. Doctors will often choose to perform the procedure for patients with fibroids who have moderate or severe symptoms, such as pain or heavy bleeding.

1. What are uterine fibroids?

Uterine fibroids, also known as fibroblasts or myomas, are muscle tumors that can grow on the wall of a woman's uterus. They rarely progress to cancer, and if you do, that doesn't mean you're more likely to develop uterine cancer.
Fibroids can vary greatly in size, shape, and location. They can appear in the uterus, the wall of the uterus, or on its surface. Fibroids can also attach to a patient's uterus using a tree-like structure.
Some fibroids are so small that the doctor cannot see them with the naked eye. Others develop into large masses that can affect the size and shape of the uterus.
Uterine fibroids can appear in women of childbearing age - usually between 30 and 40 years old, however fibroids can appear at any age. They are also more common in African-American women than in white women, and tend to appear earlier and develop more rapidly in African-Americans. There is still no solution to this problem.

2. Uterine fibroids: When is surgery needed?

The following are cases of uterine fibroids that require fibroid surgery, including:
Embolization of tumors: In this procedure, the doctor cuts off the blood supply to the fibroids to prevent fibroids. it shrinks and dies via radio frequency. This method is suitable for treating small fibroids. Fibroids can cause scarring or infection in the uterus, and even affect fertility. Therefore, if you want to become pregnant, you should consult with your doctor to be able to weigh the risks and benefits. Uterine artery embolization: If the fibroids are causing problems such as heavy bleeding or pain, your doctor may recommend this procedure to shrink the fibroids and ease some of their symptoms. . The doctor will insert a thin tube, called a catheter, into the uterine aorta. A substance is then injected to cut off the blood supply to the fibroid. This technique will shrink or destroy them and allow your uterus to reduce its overall size. You may need a sedative during this procedure, so you may be awake but still feel drowsy. The patient may feel some discomfort while the catheter is inserted. Patients only need to stay in the hospital for about 1 day after this procedure. Many people experience cramping after the procedure, so your doctor may prescribe some medications to ease discomfort. In some cases, fibroids can grow back after this procedure.

Endometrial ablation: This method is indicated when the fibroid is not too large but causes severe effects for the patient, the patient may need to remove the endometrium. Fibroids can remove or destroy the lining of your uterus. This surgical method is performed through laparoscopic hysteroscopy. Endometrial ablation can be performed in a variety of ways, such as with lasers, electric currents, etc. This treatment should only be used if you do not want to get pregnant. In case you want to become pregnant in the future, your doctor may suggest you perform a fibroid removal surgery if the tumor is large and affects your uterus. This surgery removes the fibroids but leaves the healthy tissue of the uterus. Depending on the number of fibroids, their size, and their location, your doctor will decide how to perform fibroid surgery. In order to help customers detect and treat other gynecological diseases early, Vinmec International General Hospital has a basic gynecological examination and screening package, which helps customers detect inflammatory diseases early and help treat diseases. Easy, inexpensive treatment. Screening detects gynecological cancer (cervical cancer) early even when there are no symptoms.

Basic gynecological examination and screening package for female customers, has no age limit and may have the following symptoms:
Abnormal vaginal bleeding Having menstrual problems: period abnormally long periods, irregular menstrual periods Abnormal vaginal discharge (smell, different color) Vaginal pain and itching Female clients have several risk factors such as poor personal hygiene, Unsafe sex system, abortion, ... Female customers have other symptoms such as: abnormal vaginal discharge, itching, pain in the intimate area, abnormal vaginal bleeding. Master. Trinh Thi Thanh Huyen is highly trained in obstetric ultrasound, laparoscopic surgery and hysteroscopy at the National Hospital of Obstetrics and Gynecology and has more than 13 years of experience working at Hai Phong Obstetrics and Gynecology Hospital.
Currently the doctor is an Obstetrician and Gynecologist at Vinmec Hai Phong International General Hospital
To register for examination and treatment at Vinmec International General Hospital, you can contact Vinmec Health System on nationwide, or register online HERE
Reference: webmd.com
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