Uterine fibroids causing "hemorrhagic collapse" have become a daily occurrence! She was in so much pain that she was given morphine and had to be hospitalized regularly: See the doctor immediately if there are 3 signs of menstruation
One in three women has uterine fibroids? She had hemorrhages several times a day and was so painful that she needed morphine.
If your menstruation is delayed for too long, there is excessive bleeding, or your menstruation is irregular, beware of “uterine fibroids”! Uterine fibroids are common benign gynecological tumors, with an incidence rate ranging from 20% to 50%. It is estimated that about 1/3 of women in Taiwan may have potential uterine fibroids. Although most benign uterine fibroids are asymptomatic and usually occur during unexpected ultrasound examinations. Once uterine fibroids grow larger, they may cause frequent urination, pain and severe anemia, seriously affecting normal life.
Ms. Tang, a 34-year-old nurse, had no obvious symptoms after discovering uterine fibroids ten years ago. However, in recent years, the uterine fibroids have caused frequent “hemorrhage”, causing anemia and severe menstrual pain. Each menstrual period can last up to three weeks. Heavy menstrual bleeding required her to change 3-4 pairs of pants every day. Anemia caused her new hair to turn silvery white, and she needed to be hospitalized for blood transfusions every 4-5 months.
In addition, the menstrual pain caused by uterine fibroids made her vomit, and ordinary painkillers could not relieve the pain. She had to inject morphine painkillers and muscle relaxants to relieve the pain. Long-term injections of painkillers also caused gastric ulcers, making her completely unable to live and work normally. Considering that she is still planning to have children at the age of 34 and hopes to keep her uterus intact, she decided to use non-invasive targeted sonic scalpel to treat the fibroid after a doctor’s evaluation. After the operation, she successfully improved her abnormal menstrual blood and pain and returned to her normal life.
Is uterine fibroids related to physical constitution? Which position is most dangerous?
Dr. Lin Zhaobai from Dalin Tzu Chi Hospital in Chiayi said that the cause of uterine fibroids is unknown. Currently, it is known that it is related to the secretion of estrogen. Estrogen stimulates the growth of uterine fibroids. After puberty, women will secrete estrogen as long as they have normal menstruation. Hormones may cause uterine fibroids. In addition, genetics and congenital constitution may also be related to uterine fibroids. If someone in the family suffers from uterine fibroids, the prevalence rate of female offspring is also higher.
Dr. Lin Zhaobai pointed out that uterine fibroids most commonly grow in three major locations: intermuscular, subserosal, and submucosal. Intermyometrial uterine fibroids are the most common, but patients may experience different symptoms. Subserosal uterine fibroids grow in the outermost layer of the uterus and may extend into the pelvic cavity or abdominal cavity. The fibroids are mostly large and may cause symptoms such as frequent urination and constipation when they compress the bladder. Uterine fibroids under the mucosa may grow into the uterine cavity, causing abnormal uterine bleeding and increased menstrual bleeding. Because the uterus contracts during menstruation and compresses the endometrium, submucosal uterine fibroids usually have more severe symptoms.
Does uterine treatment require surgery? Comparison of drug and surgical treatments
Do uterine fibroids have to be treated? Dr. Lin Zhaobai explained that asymptomatic uterine fibroids can be tracked regularly, and treatment can be divided into two major options: drug treatment and surgical treatment. In terms of drug treatment, it includes Mirena, oral contraceptives, GnRH, male hormones, Enci film tablets, etc. However, once there are hormonal fluctuations, there may be a chance of recurrence. Most of them can only relieve symptoms. Currently, there is no treatment that can completely eliminate fibroids. Oral drugs.
As for uterine fibroids with severe symptoms, surgical treatment can be adopted, including traditional laparotomy, minimally invasive surgery (such as endoscopic surgery, Da Vinci surgery), hysteroscopic surgery, and non-invasive targeted sonic knife treatment . Traditional surgical wounds are larger, and the uterus may need to be removed, and tissue adhesion may be as high as 90%. Targeted sound waves use ultrasound focusing and MRI positioning to preserve the uterus without wounds and adhesion problems, making it more suitable for those who need to preserve it. Women who are worried about wounds in their uterus.
Are you worried about damaging surrounding tissues during uterine fibroid surgery? Non-invasive targeted sonic knife precision treatment
Dr. Chen Jianhan from Dalin Tzu Chi Hospital in Chiayi said that the biggest difficulty in treating uterine fibroids is to avoid over-treatment and insufficient effectiveness. Depending on the growth location of uterine fibroids, if the intestine is injured during surgery, it may cause intestinal perforation and peritonitis; the sciatic nerve may be injured. The plexus may cause pain or even difficulty walking, and damage to the cervix may lead to infertility or adhesion, and there may also be abnormal bleeding later.
Dr. Chen Jianhan pointed out that “Target Sonic Knife” locates lesions through MRI, can monitor the treatment temperature in real time, accurately treat lesions, and focus energy on the fibroid lesions to cause necrosis while avoiding damage to surrounding tissues. The treatment process requires no anesthesia and no bleeding, so there is no need to worry about the risks and inconveniences of traditional surgical treatments.
Are uterine fibroids at risk of recurrence? Seek medical attention immediately if three major menstrual abnormalities occur
Dr. Chen Jianhan reminded that after treatment of uterine fibroids, there is still about a 10% risk of recurrence every year. Since fibroids are related to physical constitution, it is recommended to adopt a balanced diet. Excessive supplementation that cannot be determined to have an impact on the body is not recommended. Once uterine fibroids are discovered or occur again, there is no need to be nervous. Asymptomatic uterine fibroids can be followed up regularly.
When women experience abnormal menstrual changes, such as prolonged menstruation (more than seven days), increasing menstrual flow that may even cause anemia, or irregular menstrual cycles such as menstruation that stops for a few days and then comes again, etc., it is recommended to seek medical advice as soon as possible. Go to the outpatient clinic of an obstetrician and gynecologist to check whether it is affected by uterine fibroids or other gynecological diseases.
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