We always talk about the benefits of gynecological examination, but sometimes gynecological examination will also bring some unnecessary panic.
For example, uterine fibroids.
When many girls are examined, they often find that a disease called "hysteromyoma" will appear in the uterus. When they hear about it, everyone will think of cancer and always worry about whether it will cause some major problems.
Hysteromyoma, in fact, one in five women is recruited
Hysteromyoma is a common tumor in female diseases, but it is a benign tumor.
In recent years, the incidence rate has also shown a straight-line upward trend. According to relevant statistics, hysteromyoma is very common in the age group from 30 to 50, and the incidence rate can reach about 30%.
And the size and number of hysteromyomas usually vary from person to person. Early diseases are often ignored because the volume and number of hysteromyomas are relatively small, and some patients' symptoms are not very obvious.
Generally speaking, due to the high estrogen secretion of women of childbearing age, it brings rich "raw materials" to the vigorous growth of hysteromyoma.
Once uterine fibroids are found, should they be kept or cut?
At present, the exact factors leading to hysteromyoma have not been found, which are mostly considered to be caused by comprehensive factors such as heredity, hormone level disorder, endocrine disorder and so on.
Generally speaking, hysteromyoma will not cause obvious clinical symptoms. It is mostly found in women's physical examination. How should we deal with it after finding hysteromyoma? Do we have to do surgery?
Drug treatment is mainly aimed at patients with leiomyoma volume of about 0.5cm-4cm without clinical symptoms, especially some patients have the idea of wanting a baby and want to treat leiomyoma in advance to make pregnancy safer.
At present, gonadotropin releasing hormone analogues and anti progesterone preparations are mostly used for treatment. These drugs have strict use guidelines, because long-term medication may cause adverse reactions such as menopausal syndrome and osteoporosis.
After taking drugs to meet the course of treatment, we should recheck liver and kidney function and uterine color Doppler ultrasound to evaluate the therapeutic effect of leiomyoma and whether further treatment is needed.
2、 Surgical treatment
Surgical treatment is mainly for patients with leiomyoma volume greater than 5cm, accompanied by serious menstrual disorder, anemia and other diseases.
Especially for some pregnant women, because the myoma is too large, leading to infertility and recurrent abortion, they can choose to have surgical resection before pregnancy.
If you are pregnant and are found to have uterine leiomyoma, generally speaking, there is no special treatment. You only need to monitor regularly, recheck uterine color Doppler ultrasound, and evaluate the growth status of the baby, the size of leiomyoma and other indicators. If you find that the growth of leiomyoma is rapid, you can decide on the next treatment plan.
At present, the surgical methods of myoma are divided into hysteroscopic myomectomy and hysterectomy.
The former only removes the myoma and retains the complete function of the uterus, while the latter is suitable for patients who do not need to retain the reproductive function and myoma canceration to completely remove the uterus to avoid metastasis.
3、 Postoperative health care
Women with hysteromyoma should stay in bed more after surgical resection.
Especially in the week before the operation, because there is a large amount of bleeding after the operation, it is easy to cause dizziness and unstable standing due to anemia, so we should have more rest to restore Qi and blood.
In addition, we should also pay attention to personal hygiene. We should avoid sexual life within three months after operation. Premature sexual life is easy to lead to complications such as wound bleeding.
Patients' underwear and other clothes should be replaced and disinfected in time to avoid bacterial infection.
In a word, although hysteromyoma is a benign tumor, it should also be treated according to the situation. Those with small volume and no symptoms should be rechecked regularly.
Those with symptoms should be treated in time. Don't listen to the so-called folk prescriptions or secret prescriptions, and don't be afraid of hysteromyoma. Regular review and timely treatment are the best way to deal with hysteromyoma.
Finally, a suggestion of chicken soup - eat a balanced diet and keep yourself in a good mood.
Learn to recognize the existence of this disease. There is no need to exclude or worry too much. You can have a color Doppler ultrasound examination or gynecological specialist examination in 3-6 months.
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