What should I do about uterine fibroids?

Written by Sun Shan Shan
Obstetrics and Gynecology
Updated on September 15, 2024
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Uterine fibroids first require examining the location and size of the fibroids. Uterine fibroids can be classified into subserosal fibroids, submucosal fibroids, and intramural fibroids. If it is a submucosal fibroid, no matter the size of the fibroid, it is necessary to promptly perform a hysteroscopic submucosal fibroid surgery. If the submucosal fibroid is large, it may be necessary to perform a hysterectomy through abdominal surgery. For intramural and subserosal fibroids, if the fibroid's diameter exceeds five centimeters or if the fibroid is growing rapidly, surgical treatment is recommended at that time, because there is a chance of malignant transformation in uterine fibroids, which ranges from 0.2% to 0.3%. Therefore, once such a situation occurs, surgical treatment is required.

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uterine fibroids CT manifestations

Uterine fibroids are relatively common benign gynecological tumors. They can typically be detected through routine color ultrasound examinations. On a CT scan, uterine fibroids may appear as round, dense, and uniform lesions on the uterine wall with clear boundaries. Some patients may have multiple uterine fibroids, thus displaying several of the aforementioned symptoms. Depending on the location of the uterine fibroids, their appearance on CT scans can vary and may present as subserosal, intramural, or submucosal. Symptoms may also vary based on their location.

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Does uterine fibroids cause high CRP?

Normal uterine fibroids do not cause an increase in CRP. CRP is an indicator of systemic inflammatory response. Only when a patient experiences infection, rupture, or acute systemic inflammatory reactions will it cause a rise in tumor markers. Uterine fibroids often do not exhibit these symptoms; therefore, most cases will not show an increase in CRP. However, in some patients, infection or rupture, and even malignancy, can lead to an increase in these indicators. Patients should undergo relevant imaging studies to assess the size and location of the uterine fibroids, as well as the presence of uterine bleeding.

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Written by Li Lin
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Can uterine fibroids eat donkey-hide gelatin?

Patients with uterine fibroids can consume donkey-hide gelatin. This is because uterine fibroids often cause increased menstrual flow and prolonged menstrual periods. Due to the long-term increase in menstrual volume and duration, there is an increase in blood loss, leading to anemia. The main functions of donkey-hide gelatin are to nourish the blood, moisten dryness, and stop bleeding, making it suitable for patients with uterine fibroids. Consuming donkey-hide gelatin can alleviate the anemia and excessive menstrual bleeding caused by uterine fibroids. However, donkey-hide gelatin is relatively heaty, so it should not be consumed in excess.

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Written by Wang Jing Hua
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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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Do uterine fibroids require surgery?

Whether or not surgery is needed for uterine fibroids primarily depends on clinical symptoms, with clinical symptoms as the criterion. If the fibroids are small but affect menstruation, such as heavy periods or noticeable prolongation and increase in menstrual flow, surgery might be necessary. Another consideration for surgery is if the fibroid noticeably enlarges in a short period, and there's a suspicion of malignant transformation. Additionally, if there are significant symptomatic compressions clinically, surgery might also be considered. Therefore, if someone has uterine fibroids, it's important to consult with a gynecologist who can assess the situation based on ultrasound and physical examination to determine whether surgery is required.