Pub date
2009-06-11
Menopause occurred how do Hysteromyoma
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Uterine fibroids are born before entering menopause, middle-aged later about 20% to 25% from uterine fibroids. When approaching menopause happen uterine fibroids should do? It depends on the size of the growth of myoma, the weight of the symptoms, and without complication, integrated into consideration. Generally speaking, can adopt the following treatment.
(l) were observed for menopause, close to the women's menopause, uterine fibroids slow-growing and less than 3 months of pregnancy, the size of menorrhagia or compression symptoms without giving any treatment, not only 3 ~ 6 months to check, uterine fibroids postmenopausal atrophy. In postmenopausal estrogen, along with the amount of reducing, uterine fibroids lose estrogen stimulation will gradually atrophic. But the women often have uterine fibroids postmenopausal relatively late in the observation period, if fibroids continue to increase or have other symptom still must consider surgery.
(2) western medicine therapy to improve patient: symptoms have certain effect. For menstrual quantity more and less fibroids, except for those already endometrial lesions can estrogen therapy. Androgen can cause myometrium and vascular smooth muscle contraction of the muscles and anti-estrogen make endometrial atrophy and reduce bleeding. Common androgens are methyl testosterone daily oral 1 ~ 2 times, 5mg, Propionic acid testosterone weekly intramuscular 2 ~ 3 times, 25mg, but not more than 250mg androgens monthly doses, lest cause men. Other hemostatic agents such as including yunnan baiyao, Africa, amino acid, 6 - has reduced bleeding on vitamin K also have certain effect.
(3) herbal treatment: use medicine treatment of uterine fibroids, curative effect, particularly for caused by uterine fibroids menorrhagia, abdominal pain, had more satisfied. We in the clinical treatment of uterine fibroids blasting away disease more than 60 cases, most patient after 3 months of clinical symptoms improved, and nearly half of the patients reduce fibroid volume. Prescription: 50g 60g astragalus, codonopsis pilosula, turtle shell with 80g, 45g selfheal, 30g, mountain xuan and CiGu fritillaria thunbergiiwere, 12g, pangolin, each containing grass 1Og leeches, deer, 30g plunge in August, 45g 12g zhizhi, poria cocos 15g, notoginseng, blood fountain of 1 g 6g. For fine, beans, made the pills every day 9g, serve two times. Stop drug menses, for a period of this month.
Surgical treatment; (4) One of the following conditions should be surgery:
Uterine fibroids larger: (such as pregnancy increases over the size 12 weeks. These patients are asymptomatic, even if be surgically.
2 menstrual quantity caused by excessive anemia, conservative treatment is invalid.
3 oppression bladder tumor or rectum in frequency, dysuria, constipation, pelvic pain.
4 in the cervix, flesh grows rich ligament or submucosal fibroids.
5 in the short-term fibroids grow rapidly.
Surgical treatment methods vary from person to person. To submucosal fibroids emerge in the vagina can transvaginal will fibroids excision. In recent years, due to the development of surgical technique, hysteroscopy in not emerge in the vaginal mucosa fibroids can also received the disadvantage fibroids are depending on the downside. Excessive menstrual quantity of the intramural leiomyoma is feasible for the lining of the uterus causes artificially amenorrhoea achieve remedial goal. For other types of fibroids, most commonly surgery is performed hysterectomy specimens, including the uterus and. But if the patient's general or technology limited conditions, also can retain subtotal resection cervical did.
Whether during the age of the ovaries reserves. On entering menopause already, menopause or older than 50 years, general resection patients with bilateral ovary. A hysterectomy in technology and operation without too much difficulty is not too big, the vast majority of cases are safe and postoperative complications, patient, and rapid also don't worry surgery patients. Because of menopausal women who has no birth, generally do not consider eliminating open fibroids.
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