Sunday, March 9, 2008

Uterine fibroids should be careful to sex hormones

Written by Cao Xueqin in "A Dream of Red Mansions", meritocratic, Wang Xifeng gives the impression of emotion, However, the book said she had long disturbed Finally died of the disease. Analysis of modern medical scientist, according to the age and Wang Xifeng symptoms, she most likely to suffer from the "submucosal uterine fibroids." In those days, people helpless in the face of uterine bleeding, uterine fibroids is not completely understand. "Now, although right uterine fibroids pathogenesis is not very clear, but with the development in medical science. Uterine fibroids life of women has not constitute a major threat, "the Chinese Medical Association Gynecologic Oncology credits vice chairman, Beijing Xiehe Hospital Professor of Obstetrics and hang Shen told "Life Times" reporter, even larger fibroids, the patients had symptoms, Medicine has a very good solution. The most common gynecologic cancer is uterine fibroids of the most common gynecologic cancer in women of childbearing age, About 1 / 4-1/3 is the problem. Some women a "tumor" is very tense. Professor Shen Yue said, uterus myoma is a benign tumor, the probability of cancer is very small, only 0.2%, therefore do not have to talk about a deadly tumor. Most patients with fibroids smaller, no symptoms and do not affect life, but that should not affect fertility, without special treatment, As long as regular observation on it. According to the briefing, according to the growth of fibroids site, uterine fibroids can be divided into three categories : the first category is subserosal fibroids. Uterine fibroid long outside the womb as long charter, often through a pedicle with uterine link. Such patients may not necessarily increase the uterus, the smallest of menstruation, normally does not cause bleeding. The second category is on intramural fibroids, the most common of these patients. General uterine be increased menstrual flow increased. The third category is submucosal fibroids. Uterine fibroid to such Lane cavity growth, uterine cavity become so huge, menstrual flow increased significantly, and there are also irregular bleeding, Some patients will feel pain is the most obvious symptom of a category of fibroids. Some women because the fibroids grow quite large, even from prominent of the cervix vagina. Symptoms and fibroid growth of the site, Professor Shen said that the symptoms of uterine fibroids with fibroid growth of the location, size, The growth speed, which was most crucial. Increased menstrual flow is the most common uterine fibroid symptoms. Pain in uterine leiomyoma and rare, it accounted for about 1 / 10, was particularly prevalent in the submucosal fibroids and fibroid red degeneration, Growth too quickly, and subserosal fibroids occur torsion, and so on. In general, and gynecological examinations, blood and ultrasound findings, the majority of patients with uterine fibroids can be diagnosed. However, increased uterine pain and the patients that they want to get adenomyosis differential. The latter are often more obvious pain, increased uterine uniform, not many more than 10 gestational weeks size. For patients with menorrhagia, and uterine mucosa lesions can be diagnosed by curettage or hysteroscopy diagnosed. Pedicle of the subserosal fibroids and ovarian tumors tell, the general B-to be able to make judgment, required when necessary laparoscopy or laparotomy confirmed. Fibroid growth hormone affected by Professor Shen said that the cause of uterine fibroids is still unknown. However, its growth is closely linked with the sex hormones is in the affirmative, therefore, Any change in the level of sex hormones led to the factors will stimulate the growth of uterine fibroids, the following conditions should be concerned with : First, hormone drugs, including contraceptives, progesterone, estrogen, mifepristone, if not non-users. must weigh the pros and cons. Followed by pregnancy. Pregnant may cause fibroids red degeneration. The so-called red degeneration is pregnant after uterine blood supply, the fibroid blood supply have increased. So fibroids internal bleeding. Again, ovarian dysfunction will affect the growth of fibroids, such as polycystic ovary syndrome, dysfunctional uterine bleeding, the need aggressive treatment. Finally, some containing sex hormones in food and health products will also stimulate the growth of uterine fibroids, should avoid eating. Treatment to surgery, drug efficacy inaccurate Professor Shen-keng, if need treatment, Effect of surgery is the most reliable way. He stressed that so far, there is no exact efficacy of the drug treatment of uterine fibroids, certain medical institutions such as drug called mifepristone can cure uterine fibroids, there is no basis for the evidence-based medicine. In addition, due to unknown etiology, uterine fibroids were not eradicated, there is still After discounting the possibility of recurrence. single myomectomy recurrence probability is 20% -30%, a number of fibroid recurrence probability is 60%. To the menopausal period, uterine fibroids will be narrowed, but some patients with fibroids are still great, we still need surgery.

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